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Individual

ADAM ROBERT BURMEISTER

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
PA-C

Contact information

Practice address
1200 OAKLEAF WAY, SUITE A, ALTOONA, WI 54720-2245
(715) 832-1400
(715) 832-4187
Mailing address
1200 OAKLEAF WAY, SUITE A, ALTOONA, WI 54720-2245
(715) 832-1400
(715) 832-4187

Taxonomy

Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
1094-023
WI

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
01 20387
MEDICA/SELECTCARE EC
WI
01
01 20388
MEDICA/SELECTCARE CF
WI
05
42978200
WI
01
991N4BU
BCBS MN
WI
01
P00724279
MEDICARE RAILROAD
Enumeration date
06/26/2006
Last updated
01/14/2022
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