Individual
MRS. BONNIE REYLE BURCHELL
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
CNM
Contact information
Practice address
3100 PROFESSIONAL DR, ANN ARBOR, MI 48104-5131
(734) 973-0710
(734) 973-0595
Mailing address
PO BOX 3673, ANN ARBOR, MI 48106
(734) 973-0710
(734) 973-0595
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
4704170522
MI
207V00000X
Obstetrics & Gynecology Physician
0001092186
VA
207V00000X
Obstetrics & Gynecology Physician
0024092186
VA
207V00000X
Obstetrics & Gynecology Physician
4704170522
MI
367A00000X
Advanced Practice Midwife
Primary
4704170522
MI
Other
Enumeration date
08/27/2008
Last updated
12/06/2011
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