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Individual

DR. MICHELE DOREEN BURGET

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
M.D.

Contact information

Practice address
1521 HUGUENOT RD, SUITE 101, MIDLOTHIAN, VA 23113-2426
(804) 794-1072
(804) 794-5137
Mailing address
1521 HUGUENOT RD, SUITE 101, MIDLOTHIAN, VA 23113-2426
(804) 794-1072
(804) 794-5137

Taxonomy

Speciality
Code
Description
License number
State
2080A0000X
Pediatric Adolescent Medicine Physician
Primary
0101232551
VA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
0000241787301
UNITED HEALTHCARE PROV#
VA
01
10012164
OPTIMA PROVIDER #
VA
01
289596
ANTHEM PROVIDER #
VA
01
7447576
AETNA PROVIDER #
VA
01
7778179
CIGNA PROVIDER #
VA
01
778179
SOUTHERN HEALTH PROV#
VA
01
8114312
MAMSI ALLIANCE PROVIDER #
VA
Enumeration date
02/21/2007
Last updated
07/09/2007
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