Individual
MICHAEL BURT
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
8333 NAAB RD, STE 250, INDIANAPOLIS, IN 46260-5924
(317) 396-1300
(317) 876-4070
Mailing address
8333 NAAB RD, STE 250, INDIANAPOLIS, IN 46260-5924
(317) 396-1300
(317) 876-4070
Taxonomy
Speciality
Code
Description
License number
State
207T00000X
Neurological Surgery Physician
Primary
01022687A
IN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
100318270
—
IN
Enumeration date
11/30/2005
Last updated
10/10/2008
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