Individual provider · Type 1 NPI
Gregory E. Burgess, PA-C
Surgical Physician Assistant · Mauston, WI
NPI number
1932458932
Active
Practice location
1040 Division St
Mauston, WI 53948-1931
Fax (608) 847-9875
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Surgical Physician Assistant Primary | 363AS0400X | 3023-23 (WI) |
| Physician Assistant | 363A00000X | 3023-23 (WI) |
Surgical Physician Assistant: Definition to come...
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About NPI 1932458932
Gregory E. Burgess, PA-C's National Provider Identifier is 1932458932, issued on Sep 5, 2012. The primary taxonomy on file is Surgical Physician Assistant (363AS0400X), and the practice location is in Mauston, WI. The record was last updated on Jan 24, 2019.