Individual
RYAN MICHAEL BURKE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
LPN
Contact information
Practice address
41521 W 11 MILE RD, NOVI, MI 48375-1803
(248) 299-0030
Mailing address
8372 N TELEGRAPH RD APT 4, NEWPORT, MI 48166-9447
(734) 682-2321
Taxonomy
Speciality
Code
Description
License number
State
164W00000X
Licensed Practical Nurse
Primary
4703109279
MI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
4703109279
STATE OF MICHIGAN DEPARTMENT OF LICENSING REGULATORY AFFAIRS BOARD OF NURSING
MI
Enumeration date
12/18/2013
Last updated
12/18/2013
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