Mike Burggraf, M.S., L-ATC, EMT

NPI #1558726448 in Mantua, Utah

Provider Information

NPI Number: 1558726448
Entity Type: Individual
Name: Mike Burggraf, M.S., L-ATC, EMT
Gender: Not Specified
Sole Proprietor: Yes
Primary Specialty: Specialist
Credential: M.S., L-ATC, EMT
Enumeration Date: Dec 21, 2015
Last Updated: Dec 21, 2015

Practice Location

Address: 495 S 100 E
City: Mantua
State: Utah
ZIP Code: 84324
Phone: (435) 720-1321

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Specialist	174400000X	Primary

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