Individual
MICHELE E BURNES
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA-C
Contact information
Practice address
1002 W MAIN ST, URBANA, IA 52345-9099
(319) 443-5000
Mailing address
502 N 9TH AVE, VINTON, IA 52349-2254
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
001211
IA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
17543
ER GROUP #
IA
01
—
55965
VFMC GROUP #
IA
Enumeration date
12/13/2005
Last updated
10/14/2020
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