Individual
DR. RICHARD ELY BURGESS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D., PH.D.
Contact information
Practice address
2130 W CENTRAL AVENUE, #101, #102, #103, TOLEDO, OH 43606-3818
(419) 291-3900
(419) 479-6055
Mailing address
3000 ARLINGTON AVE STOP 1108, TOLEDO, OH 43614-2595
(419) 383-5322
(419) 383-6235
Taxonomy
Speciality
Code
Description
License number
State
2084N0400X
Neurology Physician
35.098756
OH
2084V0102X
Vascular Neurology Physician
036133825
IL
2084V0102X
Vascular Neurology Physician
Primary
35.098756
OH
2084V0102X
Vascular Neurology Physician
4301116456
MI
2084V0102X
Vascular Neurology Physician
D63053
MD
2084V0102X
Vascular Neurology Physician
MD035372
DC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0319247
—
OH
05
—
036133825
—
IL
Enumeration date
11/08/2006
Last updated
04/02/2026
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