Individual
ALTON BURNS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
4342 FOXFIRE TRL, PORTAGE, MI 49024-9539
(318) 224-1750
Mailing address
4342 FOXFIRE TRL, PORTAGE, MI 49024-9539
Taxonomy
Speciality
Code
Description
License number
State
174200000X
Meals Provider
Primary
—
—
Other
Enumeration date
04/04/2026
Last updated
04/04/2026
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