NPI 1760154389

Robert Wayne Burris

Practitioner Driver Brown Deer, WI

Practice location

Address: 8055 N 65th St, Brown Deer, WI 53223-3408
Phone: (414) 881-1858

Registered specialties

Driver Primary

Other Service Providers Taxonomy 172A00000X Licence B620-7797-3121-06 (WI)

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Registry record

NPI: 1760154389
Entity type: Individual
Sex (as registered): Male
NPI issued: 1 Oct 2021
Record last updated: 1 Oct 2021

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.