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Individual

JACK BURDICK

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
DO

Contact information

Practice address
15855 19 MILE RD, CLINTON TOWNSHIP, MI 48038-3504
(586) 263-2800
Mailing address
425 MADISON AVE, CLAWSON, MI 48017-1908
(989) 506-1979

Taxonomy

Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
Primary
5101022399
MI
390200000X
Student in an Organized Health Care Education/Training Program

Other

Enumeration date
03/09/2016
Last updated
06/18/2020
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