Brian P Burns PAC

NPI 1033106190 - Physician Assistant - 363AS0400X

NPI Details
NPI 1033106190
Gender Male
Enumeration Date 10/04/2005
Last Updated 08/08/2013
Entity Type Individual
Active Over 11 years ago
Practice Location
4100 LAKE DR SE
SUITE 300
GRAND RAPIDS MI, 49546-8292, US
Phone (616) 267-8860
Fax (616) 267-8442
Business Location
100 MICHIGAN ST NE
MC 845
GRAND RAPIDS MI, 49503-2560, US
Phone
Fax
Toxanomy
Taxonomy Code 363AS0400X
License State Michigan
License Number 5601002356
Remove 1033106190 NPI Number
 

According to our database, Brian P Burns PAC NPI is 1033106190, taxonomy code is 363AS0400X and license number is 5601002356, license state is located at Michigan. Brian P Burns PAC physically located at 4100 Lake Dr Se, Grand Rapids MI, 49546-8292. NPI Number Brian P Burns PAC has the Individual type.

Sponsored links

1033106190 NPI number is provided on an as is basis without warranty of any kind. 1033106190 is maintained by the National Plan & Provider Enumeration System. The contents of Brian P Burns PAC are for informational purposes only.