Organization
MICHAEL P. BURK, D.P.M., PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. MICHAEL PATRICK BURK D.P.M. (OWNER)
(248) 476-1500
Entity
Organization
Contact information
Practice address
39555 W 10 MILE RD, SUITE 307, NOVI, MI 48375-2950
(248) 476-1500
(248) 476-0502
Mailing address
39555 W 10 MILE RD, SUITE 307, NOVI, MI 48375-2950
(248) 476-1500
(248) 476-0502
Taxonomy
Speciality
Code
Description
License number
State
213E00000X
Podiatrist
Primary
5901001081
MI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
4237912
—
MI
01
—
480034200
RAILROAD MEDICARE
MI
01
—
480F340830
BCBS
—
01
—
4856351730
BCBS
—
Enumeration date
05/17/2007
Last updated
03/31/2009
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