Individual
MICHAEL R BURNS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
N.P.
Contact information
Practice address
550 S LANDMARK AVE, BLOOMINGTON, IN 47403-3239
(812) 355-3405
(812) 355-6538
Mailing address
550 LANDMARK AVE, PO BOX 550, BLOOMINGTON, IN 47403-0550
(812) 355-3405
(812) 355-6538
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
71001924A
IN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
200515100
—
IN
Enumeration date
06/17/2005
Last updated
10/12/2016
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