Riley Burgon, MD
Surgery in Milwaukee, WI. Individual provider (NPI-1).
NPI number1801466735
StatusActive
Last updated in NPPESJan 18, 2024
Details
- NPI
- 1801466735
- Entity type
- Individual (NPI-1)
- Name
- Riley Burgon
- Credential
- MD
- Sex
- Male
- Sole proprietor
- No
- Enumeration date
- Jul 1, 2021
- Certification date
- Jan 18, 2024
- Last updated
- Jan 18, 2024
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 208600000X | Surgery | 8231820 | WI | Yes |
| 208D00000X | General Practice | 8231820 | WI |
Practice location
1924 N Prospect Ave Unit 8Milwaukee, WI 53202-1437
Phone 806-382-0737
Mailing address
1924 N Prospect Ave Unit 8Milwaukee, WI 53202-1437
Phone 806-382-0737
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