Individual
MICHAEL BURNS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PHYSICIAN ASSISTANT
Contact information
Practice address
19801 OBSERVATION DR, GERMANTOWN, MD 20876-4070
(301) 557-6000
Mailing address
27 FAIRBANKS DR, GAITHERSBURG, MD 20877-6356
(203) 512-4669
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
C0008518
MD
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0110-007750
STATE LICENSE
VA
01
—
C08518
STATE LICENCE
MD
Enumeration date
02/24/2021
Last updated
01/09/2026
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