Individual
DR. JEFFREY JOSEPH BURKE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
D.M.D.
Contact information
Practice address
2323 S 109TH ST STE 275, WEST ALLIS, WI 53227-1912
(414) 321-7200
Mailing address
3660 N LAKE SHORE DR APT 3509, CHICAGO, IL 60613-5315
(617) 851-6097
Taxonomy
Speciality
Code
Description
License number
State
1223P0300X
Periodontics
Primary
6104-015
WI
Other
Enumeration date
06/01/2007
Last updated
07/08/2007
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