Individual provider · Type 1 NPI
Richard Lawrence Burgett Sr., CSA
Surgical Physician Assistant · Traverse City, MI
NPI number
1912139544
Active
Practice location
4327 Stone Ridge Dr
Traverse City, MI 49684-7958
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Surgical Physician Assistant Primary | 363AS0400X | None listed |
Surgical Physician Assistant: Definition to come...
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About NPI 1912139544
Richard Lawrence Burgett Sr., CSA's National Provider Identifier is 1912139544, issued on Aug 15, 2009. The primary taxonomy on file is Surgical Physician Assistant (363AS0400X), and the practice location is in Traverse City, MI. The record was last updated on Aug 15, 2009.