MR. RICHARD LAWRENCE BURGETT CSA NPI 1912139544

NPI Information

NPI: 1912139544
Provider Name: MR. RICHARD LAWRENCE BURGETT, CSA
Classification: Physician Assistant - 363AS0400X
Entity Type: Individual

Specialization: Surgical

Address:
4327 STONE RIDGE DR
TRAVERSE CITY, MI
ZIP 49684
Phone: (231) 929-7540
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MR. Richard Lawrence Burgett, CSA is a surgical physician assistant in Traverse City, MI. MR. Richard Lawrence Burgett, CSA NPI is 1912139544. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a male.

The provider's business location address is:

4327 STONE RIDGE DR
TRAVERSE CITY, MI
ZIP 49684-958
Phone: (231) 929-7540

The enumeration date for this NPI number is 8/15/2009 and was last updated on 8/15/2009.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	363AS0400X	Physician Assistant	Surgical		MICHIGAN	Yes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 5/5/2024

NPI Synchronization or Removal

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