| Michael J Burns Md Inc | |
|
1777 Botelho Dr Ste 110 Walnut Creek CA 94596-5083 | |
| (925) 934-3536 | |
| (925) 934-0672 |
| Full Name | Michael J Burns Md Inc |
|---|---|
| Speciality | Internal Medicine |
| Location | 1777 Botelho Dr Ste 110, Walnut Creek, California |
| Authorized Official Name and Position | Margaret Raskowsky (MANAGER) |
| Authorized Official Contact | 4154911210 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Michael J Burns Md Inc 9 Equestrian Ct Novato CA 94945-2600 Ph: (415) 491-1210 | Michael J Burns Md Inc 1777 Botelho Dr Ste 110 Walnut Creek CA 94596-5083 Ph: (925) 934-3536 |
| NPI Number | 1346723277 |
|---|---|
| Provider Enumeration Date | 09/06/2018 |
| Last Update Date | 09/06/2018 |
| Medicare PECOS PAC ID | 7315299773 |
|---|---|
| Medicare Enrollment ID | O20181012000420 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1346723277 | NPI | - | NPPES |
| A117877 | Other | CA | LICENSE |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207RS0010X | Internal Medicine - Sports Medicine | A117877 (California) | Primary |
| Provider Name | Michael Joseph Burns |
|---|---|
| Provider Type | Practitioner - Sports Medicine |
| Provider Identifiers | NPI Number: 1760708622 PECOS PAC ID: 0648592337 Enrollment ID: I20181012000473 |
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