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DR. BRIAN THOMAS BURNS M.D.

>> Family Medicine >> Allopathic & Osteopathic Physicians

Registrant NPI Number: 1861624579

Individual Registrant:
DR. BRIAN THOMAS BURNS M.D.
Gender: M
Not Sole Proprietor

Location and contact information for practice:
611 S MARSHALL AVE  MC LEANSBORO, IL 62859-1213 US
Tel: 618-643-2361  Fax: 618-643-3061

Contact information for business:
611 S MARSHALL AVE PO BOX 429 MC LEANSBORO, IL 62859-1213 US
Tel: 618-643-2361  Fax: 618-643-3061

Registration Information:
NPI: 1861624579
Entity Type: Individual

Specialty information:

PrimaryCodeCategory/DescriptionStateLicense Number
Y207Q00000XAllopathic & Osteopathic Physicians
Family Medicine
MI4301094528

Legacy codes, insurance codes and state license numbers:

IssuerNumberStateType




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