Dr. Amy C Burt, DO
Pediatrics in Plymouth, MN. Individual provider (NPI-1).
NPI number1053398024
StatusActive
Last updated in NPPESMar 1, 2012
Details
- NPI
- 1053398024
- Entity type
- Individual (NPI-1)
- Name
- Dr. Amy C Burt
- Credential
- DO
- Sex
- Female
- Sole proprietor
- No
- Enumeration date
- Dec 29, 2005
- Last updated
- Mar 1, 2012
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 208000000X | Pediatrics | 43111 | MN | Yes |
Practice location
3007 Harbor Ln NPlymouth, MN 55447-5103
Phone 952-993-8900
Mailing address
3800 Park Nicollet BlvdCredentialing
St Louis Park, MN 55416-2527
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