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Individual

MR. MICHAEL JULIAN BURKE

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
SET, SSC, CFT

Contact information

Practice address
134 POTOMAC DR, ELYRIA, OH 44035-4418
(419) 788-0718
Mailing address
134 POTOMAC DR, ELYRIA, OH 44035-4418
(419) 788-0718

Taxonomy

Speciality
Code
Description
License number
State
146N00000X
Basic Emergency Medical Technician
0140900
OH
174400000X
Specialist
391940
OH
174400000X
Specialist
391942
OH
226300000X
Kinesiotherapist
Primary
391941
OH

Other

Enumeration date
08/11/2013
Last updated
08/11/2013
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