Individual
LEVI BURSCH
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
3570 RIVER RAPIDS DR NW # 110, COON RAPIDS, MN 55448-4100
(651) 760-5441
Mailing address
812 MELLWOOD AVE, DULUTH, MN 55804-1718
(716) 397-2435
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
D14219
MN
Other
Enumeration date
05/29/2019
Last updated
02/14/2022
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