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Roger Burk
NPI 1851969992 · on the registry since 2021
Practice
- Address
- 1939 S Division Ave
Grand Rapid, MI 49507 - Phone
- (616) 247-3815
Registry record
- Primary taxonomy
- 104100000X
104100000X
- Licence states on file
- NULL
From the registry's licence fields, which are often incomplete.
- Sex
- Male
- Record last updated
- 2021-06-17
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 Michigan