SearchWisconsin152W00000X

Gary Burkhardt, O.D

NPI 1861479412 · on the registry since 2005 · sole proprietor

Practice

Address
19 W Main St
Chilton, WI 53014
Phone
(920) 849-4291
Fax
(920) 849-4292

Registry record

Primary taxonomy
152W00000X
152W00000X
Licence states on file
WI
From the registry's licence fields, which are often incomplete.
Sex
Male
Record last updated
2013-01-28

Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Wisconsin