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Individual

DR. AMELIA L BURGESS

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
M.D.

Contact information

Practice address
776 GOLDEN MEADOW RD, EAGAN, MN 55123-2053
(515) 872-2636
Mailing address
776 GOLDEN MEADOW RD, EAGAN, MN 55123-2053
(651) 587-2263

Taxonomy

Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary
47865
MN
2083A0300X
Addiction Medicine (Preventive Medicine) Physician
47865
MN

Other

Enumeration date
08/10/2007
Last updated
10/12/2021
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