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Individual

NATHAN T BURNS JR.

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
CPS

Contact information

Practice address
15503 CHERRYLAWN ST, DETROIT, MI 48238-1140
(313) 395-1436
Mailing address
15503 CHERRYLAWN ST, DETROIT, MI 48238-1140
(313) 395-1436

Taxonomy

Speciality
Code
Description
License number
State
224P00000X
Prosthetist
Primary
MI
225000000X
Orthotic Fitter
MI
335E00000X
Prosthetic/Orthotic Supplier

Other

Enumeration date
05/19/2026
Last updated
05/19/2026
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