Individual
DR. BRIAN THOMAS BURNS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
611 S MARSHALL AVE, MC LEANSBORO, IL 62859-1213
(618) 643-2361
(618) 643-3061
Mailing address
611 S MARSHALL AVE, PO BOX 429, MC LEANSBORO, IL 62859-1213
(618) 643-2361
(618) 643-3061
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
4301094528
MI
Other
Enumeration date
08/13/2009
Last updated
02/24/2014
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