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Individual

COLLIN M BURKART

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
MD

Contact information

Practice address
2123 AUBURN AVE, SUITE 208, CINCINNATI, OH 45219-2906
(513) 421-5558
(513) 632-5804
Mailing address
237 WILLIAM HOWARD TAFT, PHYS DIV, 2ND FL, CBO2-3, ATTN: CREDENTIALING, CINCINNATI, OH 45219-2906
(513) 263-8571
(513) 366-4480

Taxonomy

Speciality
Code
Description
License number
State
207Y00000X
Otolaryngology Physician
Primary
35094885
OH

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
3071214
OH MEDICAID
OH
01
H141490
OH MEDICARE PTAN
OH
Enumeration date
05/25/2007
Last updated
10/27/2020
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