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Contact Information

JOHN B CARLSON BUREN, DPM
5200 FAIRVIEW BLVD
WYOMING, MN55092-8013
 Phone: 651-389-0182
 Fax: 651-982-7677
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Surgery, Foot & Ankle

213ES0103X 48 Podiatry
Indicates primary specialty

NPI Profile & details for JOHN B CARLSON BUREN · (Male)

NPI # 1023087814
Status Active
Credentials DPM (Doctor of Podiatric Medicine)
Entity Individual
Enumeration date 03/15/2006
Last updated 01/29/2026 - About 4 months ago
Sole proprietor 1 No
Identifiers
  • MN License # 772
  • WA Medicaid 8428757
  • MN Other 772 STATE LICENSE
  • WA Other 7680BU REGENCE BLUE SHIELD
  • WA Other 0199631 STATE WRKS COMP
Hospital affiliation(s)
  • FAIRVIEW LAKES MEDICAL CENTER - (Acute Care)
    5200 FAIRVIEW BOULEVARD
    WYOMING, MN 55092
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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