Individual
DR. MARIAN S BURSTEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD PHD
Contact information
Practice address
5050 POWDERHOUSE RD, CHEYENNE, WY 82009-4800
(970) 634-1311
(970) 634-1271
Mailing address
2695 ROCKY MOUNTAIN AVE, SUITE 150, LOVELAND, CO 80538-8702
(970) 624-4443
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
42461
CO
207Q00000X
Family Medicine Physician
Primary
7656A
WY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
124242300
—
WY
Enumeration date
04/18/2006
Last updated
02/19/2013
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