Individual
JENNIFER ANN BURNS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
900 S WEBSTER AVE, GREEN BAY, WI 54301-3508
(920) 496-4700
(920) 436-1309
Mailing address
PO BOX 19070, PREVEA HEALTH, GREEN BAY, WI 54307-9070
(920) 496-4700
(920) 436-1309
Taxonomy
Speciality
Code
Description
License number
State
208800000X
Urology Physician
Primary
48809
WI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
34815300
—
WI
Enumeration date
07/08/2006
Last updated
07/23/2008
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