Individual
DR. GILBERT C BURGSTEDE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
710 RIVERSIDE DR, WAUPACA, WI 54981-1941
(715) 256-3000
(715) 256-3079
Mailing address
710 RIVERSIDE DR, WAUPACA, WI 54981-1941
(715) 256-3000
(715) 256-3079
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
22095
WI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
30267600
—
WI
Enumeration date
11/25/2005
Last updated
09/24/2009
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