| Douglas W Burgess Dds Pa | |
|
730 E Madison Ave Mankato MN 56001-6100 | |
| (507) 625-7550 | |
| (507) 388-3353 |
| Full Name | Douglas W Burgess Dds Pa |
|---|---|
| Speciality | Dentist |
| Location | 730 E Madison Ave, Mankato, Minnesota |
| Authorized Official Name and Position | Douglas Wilford Burgess (OWNER) |
| Authorized Official Contact | 5076257550 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Douglas W Burgess Dds Pa 730 E Madison Ave Mankato MN 56001-6100 Ph: (507) 625-7550 | Douglas W Burgess Dds Pa 730 E Madison Ave Mankato MN 56001-6100 Ph: (507) 625-7550 |
| NPI Number | 1184726531 |
|---|---|
| Provider Enumeration Date | 09/05/2006 |
| Last Update Date | 08/22/2020 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1184726531 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 122300000X | Dentist | 7404 (Minnesota) | Primary |
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