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Contact Information

RICHARD W BURRIS, PA-C
257 W SAINT GEORGE AVE
GRANTSBURG, WI54840
 Phone: 715-463-5353
 Fax: 715-463-2753
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Physician Assistant

363A00000X 97 Physician Assistant
Indicates primary specialty

NPI Profile & details for RICHARD W BURRIS · (Male)

NPI # 1790745446
Status Active
Credentials PA-C (Physician Assistant-Certified)
Entity Individual
Enumeration date 03/26/2006
Last updated 06/19/2018 - About 8 years ago
Sole proprietor 1 No
Identifiers
  • MN License # 9113
  • WI License # 4333-23
  • MN Medicaid 449390700
Hospital affiliation(s)
  • BURNETT MED CTR - (Critical Access)
    257 W ST GEORGE AVE
    GRANTSBURG, WI 54840
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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