BRIAN BURGESS

WYOMING, MI
NPI1326211129
Entity TypeIndividual
GenderMale
Sole Proprietor ?Yes
Primary Taxonomy207K00000X Allergy & Immunology
(Licence: NJ  07mc14)
Enumeration Date2008-04-12
Last Update Date2008-04-12
Business Address
-- BRIAN BURGESS
2433 BYRON CENTER AVE SW 203
WYOMING, MI 49519-2196
Phone number: 616-819-9808
Mailing Address
-- BRIAN BURGESS
2433 BYRON CENTER AVE SW 203
WYOMING, MI 49519-2196
Phone number:
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