Burnett Medical Center Inc in Grantsburg - Physician Assistant
Burnett Medical Center Inc - NPI 1356499784
Burnett Medical Center Inc is a Physician Assistant in Grantsburg, Wisconsin. Burnett Medical Center Inc practices all healthcare services and medical treatments related to Physician Assistant. The NPI Number for Burnett Medical Center Inc is 1356499784. The last update date is 2012-01-04.
Burnett Medical Center Inc's current location address is 257 W Saint George Ave, Grantsburg, Wisconsin. You can contact this provider via phone number 7154635317. The mailing address for Burnett Medical Center Inc is 257 W Saint George Ave, Grantsburg, Wisconsin. To know further, please read the information below!
Provider Profile Detail
Provider Organization | Burnett Medical Center Inc |
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Address | 257 W Saint George Ave, Grantsburg, Wisconsin |
Phone Number | 7154635317 |
Fax Number | |
Sole Proprietor | -- |
Credentials | -- |
Authorized Official
Title or Position | CFO |
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Authorized Official Name | Faught J. Charles |
Telephone Number | 7154637281 |
NPI Number Detail
NPI Number | 1356499784 |
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Provider Enumeration Date | 2007-01-08 |
Last Updated Date | 2012-01-04 |
Provider Mailing Address Detail
Address | 257 W Saint George Ave |
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City | Grantsburg |
State | Wisconsin (WI) |
Post Code | 548407827 |
Phone Number | 7154635317 |
Fax Number |
Provider's Primary Taxonomy Detail
Speciality | Physician Assistant |
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Taxonomy | 363A00000X |
Licence No | 1034 |
Definition: A physician assistant is a person who has successfully completed an accredited education program for physician assistant, is licensed by the state and is practicing within the scope of that license. Physician assistants are formally trained to perfor |
Provider's Other Legacy Identifiers
Identifier | Identifier Type | Identifier State | Identifier Issuer |
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124768 | MN | -- | |
1212 | WI | -- | |
526247000 | MN | -- | |
110166100 | WI | -- |
Post Comment/ Review Below
What is the Burnett Medical Center Inc's 1356499784?
The Burnett Medical Center Inc's NPI (National Provider Identifier) Number is 1356499784. This unique 10-digit identification number is assigned to health care providers by the Centers for Medicare & Medicaid Services (CMS).
Could you please share the complete physical address where Burnett Medical Center Inc is geographically located?
The Burnett Medical Center Inc is physically situated at the following location: 257 W Saint George Ave, Grantsburg, WI, 548407827.
What is Burnett Medical Center Inc's primary field of medical specialization, and what is the corresponding taxonomy classification code for this area of expertise?
The primary field of medical specialization for Burnett Medical Center Inc is Physician Assistant, and the taxonomy classification code that categorizes this area of expertise is 363A00000X.
When was the Burnett Medical Center Inc's 1356499784 issued?
The Burnett Medical Center Inc's 1356499784 was issued on 2007-01-08.
As of what date were the details related to Burnett Medical Center Inc most recently updated or revised?
The information pertaining to Burnett Medical Center Inc, including its address, specialty, and other relevant details, was last updated or revised on 2012-01-04.