Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 213E00000X | Podiatrist | 5901001461 | MI |
Y | 222Z00000X | Podiatrist | 5901001461 | MI |
NPI | 1003813726 |
---|---|
Provider Name | Dr. Robert Andrew Burns II |
First Address | Farmington Hills, MI 48334-4016 |
Second Address | Farmington Hills, MI 48334-4016 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | Yes |
Is Organization Subpart | N/A |
Enumeration Date | 07/07/2005 |
Last Update Date | 11/01/2022 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
2595314 | (05) | MI |
382888838 | COMMERCIAL (01) |