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Individual

DR. MICHAEL A BURCHETT

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
DO

Contact information

Practice address
855 ILLINI DR, SUITE 304, SILVIS, IL 61282-2907
(309) 281-2120
(309) 281-2129
Mailing address
865 LINCOLN RD, SUITE L10, BETTENDORF, IA 52722-4190
(563) 355-9200
(563) 355-3419

Taxonomy

Speciality
Code
Description
License number
State
208600000X
Surgery Physician
Primary
5101017495
MI

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
036132850-1
IL
05
1669672325
IA
Enumeration date
07/20/2007
Last updated
06/01/2021
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