Search › Michigan › 163WP0807X
Roderick Burbank
NPI 1881470607 · on the registry since 2023 · sole proprietor
Practice
- Address
- 49209 Sonrisa St
Van Buren Twp, MI 48111 - Phone
- (313) 779-1120
Registry record
- Primary taxonomy
- 163WP0807X
163WP0807X
- Also registered as
- 163W00000X
- Licence states on file
- MI
From the registry's licence fields, which are often incomplete.
- Sex
- Male
- Record last updated
- 2023-09-06
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