Individual
MR. RICHARD LAWRENCE BURGETT SR.
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
CSA
Contact information
Practice address
4327 STONE RIDGE DR, TRAVERSE CITY, MI 49684-7958
(231) 929-7540
Mailing address
4327 STONE RIDGE DR, TRAVERSE CITY, MI 49684-7958
(231) 929-7540
Taxonomy
Speciality
Code
Description
License number
State
363AS0400X
Surgical Physician Assistant
Primary
—
MI
Other
Enumeration date
08/15/2009
Last updated
08/15/2009
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