Organization
JOHN J BURROUGHS MD PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. JOHN J BURROUGHS M.D. (PRESIDENT)
(734) 241-3543
Entity
Organization
Contact information
Practice address
2200 N MONROE ST, MONROE, MI 48162-4254
(734) 241-3543
(734) 241-4726
Mailing address
2200 N MONROE ST, MONROE, MI 48162-4254
(734) 241-3543
(734) 241-4726
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
00581292
BCBSM
MI
01
—
JB022044
LICENSE #
MI
Enumeration date
03/13/2007
Last updated
02/26/2010
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