Ayden Burge
Community Health Worker in Southfield, MI. Individual provider (NPI-1).
NPI number1235841768
StatusActive
Last updated in NPPESDec 15, 2022
Details
- NPI
- 1235841768
- Entity type
- Individual (NPI-1)
- Name
- Ayden Burge
- Sex
- Male
- Sole proprietor
- No
- Enumeration date
- Dec 15, 2022
- Certification date
- Dec 15, 2022
- Last updated
- Dec 15, 2022
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 172V00000X | Community Health Worker | – | – | Yes |
Practice location
24681 Northwestern Hwy Ste 3101Southfield, MI 48075-2305
Phone 248-319-6961
Mailing address
24681 Northwestern Hwy Ste 3101Southfield, MI 48075-2305
Phone 248-319-6961
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