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Individual

DAVID EDWIN BURDETTE

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
MD

Contact information

Practice address
275 MICHIGAN ST NE, GRAND RAPIDS, MI 49503-2531
(616) 267-7900
(616) 267-7901
Mailing address
100 MICHIGAN ST NE # MC845, GRAND RAPIDS, MI 49503-2560
(616) 486-6790
(616) 486-6702

Taxonomy

Speciality
Code
Description
License number
State
2084E0001X
Epilepsy Physician
Primary
4301056700
MI
2084N0400X
Neurology Physician
4301056700
MI

Other

Enumeration date
11/21/2006
Last updated
12/13/2024
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