Richard Wayne Burris in Grantsburg - Physician Assistant
Richard Wayne Burris - NPI 1790745446
Richard Wayne Burris is a Physician Assistant in Grantsburg, Wisconsin. Richard Wayne Burris practices all healthcare services and medical treatments related to Physician Assistant. The NPI Number for Richard Wayne Burris is 1790745446. The last update date is 2018-06-19.
Richard Wayne Burris's current location address is 257 W Saint George Ave, Grantsburg, Wisconsin. You can contact this provider via phone number 7154635353. The mailing address for Richard Wayne Burris is 257 W Saint George Ave, Grantsburg, Wisconsin. To know further, please read the information below!
Provider Profile Detail
Provider Name | Richard Wayne Burris |
---|---|
Address | 257 W Saint George Ave, Grantsburg, Wisconsin |
Phone Number | 7154635353 |
Fax Number | |
Sole Proprietor | N |
Credentials | PA-C |
NPI Number Detail
NPI Number | 1790745446 |
---|---|
Provider Enumeration Date | 2006-03-26 |
Last Updated Date | 2018-06-19 |
Provider Mailing Address Detail
Address | 257 W Saint George Ave |
---|---|
City | Grantsburg |
State | Wisconsin (WI) |
Post Code | 548407827 |
Phone Number | 7154635353 |
Fax Number |
Provider's Primary Taxonomy Detail
Speciality | Physician Assistant |
---|---|
Taxonomy | 363A00000X |
Licence No | 4333-23 |
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 |
---|---|---|---|
449390700 | MN | -- |
Post Comment/ Review Below
What is the Richard Wayne Burris's 1790745446?
The Richard Wayne Burris's NPI (National Provider Identifier) Number is 1790745446. 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 Richard Wayne Burris is geographically located?
The Richard Wayne Burris is physically situated at the following location: 257 W Saint George Ave, Grantsburg, WI, 548407827.
What is the Richard Wayne Burris's area of specialization and corresponding taxonomy classification?
The Richard Wayne Burris's specialty field is Physician Assistant, and it falls under the taxonomy code 363A00000X, which categorizes healthcare providers based on their specialties.
On what date did the Centers for Medicare & Medicaid Services originally issue the 1790745446 to Richard Wayne Burris?
The Centers for Medicare & Medicaid Services originally issued the 1790745446 to Richard Wayne Burris on 2006-03-26.
As of what date were the Richard Wayne Burris's details last updated?
The information pertaining to the Richard Wayne Burris, including its address, specialty, and other details, was most recently updated on 2018-06-19.
NPI Number: 1902809924
Address: 2400 W Main St, Rock Hill, SC
NPI Number: 1063415297
Address: 510 Spring St, Jeffersonville, IN