Individual
DR. MICHAEL T BURCON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
D.C.
Contact information
Practice address
3501 LAKE EASTBROOK BLVD SE, SUITE 252, GRAND RAPIDS, MI 49546-5938
(616) 575-9990
(616) 575-9995
Mailing address
3501 LAKE EASTBROOK BLVD SE, SUITE 252, GRAND RAPIDS, MI 49546-5938
(616) 575-9990
(616) 575-9995
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
2301007711
MI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
4126753
—
MI
01
—
950D151480
BLUE CROSS
MI
Enumeration date
06/28/2005
Last updated
03/25/2013
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