Individual
COLLEEN M BURTON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
NP
Contact information
Practice address
509 OSBORN BLVD, SUITE 309, SAULT SAINTE MARIE, MI 49783-2069
(906) 253-9383
(906) 253-9418
Mailing address
325 E H ST, IRON MOUNTAIN, MI 49801-4760
Taxonomy
Speciality
Code
Description
License number
State
363LA2200X
Adult Health Nurse Practitioner
Primary
4704196468
MI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
4856302
—
MI
01
—
CB196468
BCBS OF MICHIGAN
MI
Enumeration date
06/14/2006
Last updated
11/30/2018
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