GREGORY E BURGESS, PA-C, Surgical MAUSTON, WI

Contact Information

GREGORY E BURGESS, PA-C

1040 DIVISION ST
MAUSTON, WI 53948-1931

Phone: 608-847-5000
Fax: 608-847-9875
Website:

Specialty	Taxonomy Code	Specialty Code	Provider Type
Surgical	363AS0400X	97	Physician Assistant
Physician Assistant	363A00000X	97	Physician Assistant

Indicates primary specialty

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NPI Profile & details for GREGORY E BURGESS · (Male)

NPI #	`1932458932`
Status	Active
Credentials	PA-C (Physician Assistant-Certified)
Entity	Individual
Enumeration date	09/05/2012
Last updated	01/24/2019 - About 7 years ago
Sole proprietor ¹	No
Identifiers	WI License # 3023-23
Hospital affiliation(s)	MILE BLUFF MEDICAL CENTER INC - (Acute Care) 1050 DIVISION ST MAUSTON, WI 53948

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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