Dr. Erik Duane Burgwald, OD
Optometrist in Champaign, IL. Individual provider (NPI-1).
NPI number1689644684
StatusActive
Last updated in NPPESJul 31, 2015
Details
- NPI
- 1689644684
- Entity type
- Individual (NPI-1)
- Name
- Dr. Erik Duane Burgwald
- Credential
- OD
- Sex
- Male
- Sole proprietor
- No
- Enumeration date
- Jan 24, 2006
- Last updated
- Jul 31, 2015
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 152W00000X | Optometrist | 046008644 | IL | Yes |
Practice location
1711 S Neil StChampaign, IL 61820
Phone 217-359-2390 · Fax 217-359-3180
Mailing address
1711 S Neil StChampaign, IL 61820
Phone 217-359-2390 · Fax 217-359-3180
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