National Provider Identifier
Michele Burgess, EDM
Michele Burgess, EDM is listed in the NPPES registry with a primary specialty of Specialist in North Tonawanda, NY and a listed phone number of (716) 930-2198.
Profile Overview
- NPI
- 1972864221
- Provider Type
- Individual
- Primary Specialty
- Specialist
- Enumeration Date
- June 04, 2012
- Last Updated
- June 04, 2012
Practice Location
- 982 Walck RD
- North Tonawanda, NY 14120-3517
Phone: (716) 930-2198
Specialties
- Specialist (174400000X)
Full Record
- NPI
- 1972864221
- Entity Type
- Individual
- Last Name
- Burgess
- First Name
- Michele
- Credential
- EDM
- Mailing Street Address
- 982 Walck RD
- Mailing City
- North Tonawanda
- Mailing State
- NY
- Mailing ZIP Code
- 14120-3517
- Mailing Country
- US
- Mailing Phone
- (716) 930-2198
- Practice Street Address
- 982 Walck RD
- Practice City
- North Tonawanda
- Practice State
- NY
- Practice ZIP Code
- 14120-3517
- Practice Country
- US
- Practice Phone
- (716) 930-2198
- Enumeration Date
- June 04, 2012
- Last Updated
- June 04, 2012
- Sex
- Female
- Sole Proprietor
- No
- updated_by_file
- npidata_pfile_20050523-20260308.csv
- Taxonomies
- Specialist (174400000X)