Individual
DR. LESTER BURKOW
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
D.O.
Contact information
Practice address
319 W DELAWARE ST, DECATUR, MI 49045-1106
(269) 423-7028
(269) 423-8282
Mailing address
319 W DELAWARE ST, DECATUR, MI 49045-1106
(269) 423-7028
(269) 423-8282
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
5101006642
MI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1235131137
BCBSM
MI
05
—
1639166747
—
MI
05
—
3191668
—
MI
Enumeration date
10/04/2005
Last updated
10/31/2014
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