Individual provider · Type 1 NPI

Antonia G. Burke, MD

Student in an Organized Health Care Education/Training Program · Detroit, MI

NPI number 1104130186 Active

Practice location

22101 Moross Rd
Detroit, MI 48236-2148

Call (313) 343-3400 Map

Fax (313) 343-4056

Other practice locations

  • 19251 Mack Ave Ste 340, Grosse Pointe Woods, MI 48236-2891 · (313) 343-3400

Specialties and licenses

TaxonomyCodeLicense
Speech-Language Pathologist 235Z00000XNone listed
Student in an Organized Health Care Education/Training Program Primary 390200000XNone listed

Student in an Organized Health Care Education/Training Program: An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.

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About NPI 1104130186

Antonia G. Burke, MD's National Provider Identifier is 1104130186, issued on Aug 2, 2010. The primary taxonomy on file is Student in an Organized Health Care Education/Training Program (390200000X), and the practice location is in Detroit, MI. The record was last updated on May 18, 2025.