Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
N | 207R00000X | Internist | 125053531 | IL |
N | 111NI0900X | Internist | 125053531 | IL |
N | 207R00000X | Internist | 4301106087 | MI |
N | 111NI0900X | Internist | 4301106087 | MI |
Y | 207RH0000X | Hematologist | 4301106087 | MI |
N | 207RX0202X | Medical Oncology | 4301106087 | MI |
NPI | 1164684395 |
---|---|
Provider Name | Patrick William Burke |
First Address | Ann Arbor, MI 48108-1633 |
Second Address | Ann Arbor, MI 48109-5000 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 29/06/2008 |
Last Update Date | 26/06/2019 |