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Ethan Burk
NPI 1316616535 · on the registry since 2021
Practice
- Address
- Bennett, 18 Gym Dr
Orono, ME 04473 - Phone
- (207) 450-4095
Registry record
- Primary taxonomy
- 2255A2300X
2255A2300X
- Also registered as
- 390200000X
2255A2300X - Licence states on file
- ME
From the registry's licence fields, which are often incomplete.
- Sex
- Male
- Record last updated
- 2025-01-21
Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Maine