Individual
DR. CHRISTOPHER THOMAS BURNETT
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
N16W24131 RIVERWOOD DR, PEWAUKEE CLINIC, WAUKESHA, WI 53188-1106
(262) 696-0808
Mailing address
N16W24131 RIVERWOOD DR, PEWAUKEE CLINIC, WAUKESHA, WI 53188-1106
(262) 696-0808
Taxonomy
Speciality
Code
Description
License number
State
207N00000X
Dermatology Physician
61364-20
WI
207ND0101X
MOHS-Micrographic Surgery Physician
Primary
61364-20
WI
Other
Enumeration date
10/26/2007
Last updated
11/05/2018
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