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Robert A Burghduf Jr., PA-C

Physician Assistant in Grand Rapids, MI. Individual provider (NPI-1).

NPI number1477548832
StatusActive
Last updated in NPPESJan 13, 2023

Details

NPI
1477548832
Entity type
Individual (NPI-1)
Name
Robert A Burghduf Jr.
Credential
PA-C
Sex
Male
Sole proprietor
No
Enumeration date
Sep 13, 2005
Certification date
Jan 13, 2023
Last updated
Jan 13, 2023

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
363A00000X Physician Assistant5601002493MIYes

Practice location

4100 Lake Dr Se Ste 200
Grand Rapids, MI 49546-8292

Phone 616-391-3759 · Fax 616-391-3052

Mailing address

100 Michigan St Ne
Mc 845
Grand Rapids, MI 49503-2560

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