Dr. Tyson Burghardt
Neurologist Clinical Neurophysiologist
804 Service Road Room A217
East Lansing
, Michigan 48824-7040
Dr. Tyson Burghardt
Neurologist Clinical Neurophysiologist
804 Service Road Room A217
East Lansing
, Michigan 48824-7040
(517) 432-3928
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About
Features
Specialties
- Neurologist
- Clinical Neurophysiologist
Languages spoken
- English
Location
First Address
- Dr. Tyson Burghardt
- 804 Service Rd Ste A109b
- East Lansing, MI
- Zip : 48824-7015
- Fax : (517) 432-3928
- Phone : (517) 884-2976
Second Address
- Dr. Tyson Burghardt
- 804 Service Road Room A217
- East Lansing, MI
- Zip : 48824-7040
- Fax : (517) 432-3713
- Phone : (517) 353-8122
Reviews
FAQs
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Scope of Practice
| Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
|---|---|---|---|---|
| N | 2084N0400X | Neurologist | 4301092895 | MI |
| Y | 2084N0600X | Clinical Neurophysiologist | 4301092895 | MI |
National Provider Identifier
| NPI | 1033353198 |
|---|---|
| Provider Name | Dr. Tyson Burghardt |
| First Address | East Lansing, MI 48824-7015 |
| Second Address | East Lansing, MI 48824-7040 |
| Gender | M |
| NPI Entity type | Individual |
| Is Sole Proprietor | No |
| Is Organization Subpart | N/A |
| Enumeration Date | 20/04/2009 |
| Last Update Date | 07/06/2021 |
Additional Identifiers
| IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
|---|---|---|
| 1033353198 | (05) | MI |
NPI Footnotes
What is the National Provider Identifier (NPI)
Provider Location Address
Provider Mailing Address
Entity Type Code
1= Person: individual human being who furnishes health care;
2= Non-person: entity other than an individual human being that furnishes health care (Examples: hospital, SNF, hospital subunit, pharmacy, or HMO)
What is a Subpart?
Provider Other Organization Name
1 = former name;
2 = professional name;
3 = doinq business as (d/b/ a) name;
4 = former legal business name;
5 = other.