Individual
RILEY BURGON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
1924 N PROSPECT AVE UNIT 8, MILWAUKEE, WI 53202-1437
(806) 382-0737
Mailing address
1924 N PROSPECT AVE UNIT 8, MILWAUKEE, WI 53202-1437
(806) 382-0737
Taxonomy
Speciality
Code
Description
License number
State
208600000X
Surgery Physician
Primary
8231820
WI
208D00000X
General Practice Physician
8231820
WI
Other
Enumeration date
07/01/2021
Last updated
01/18/2024
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