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Mike Burggraf, MS,L-ATC,EMT
Specialist in Mantua, Utah
NPI 1558726448

Mike Burggraf is a Specialist based in Brigham City, UT. Mike Burggraf practices in Mantua, UT and has the professional credentials of MS,L-ATC,EMT. The NPI Number for Mike Burggraf is 1558726448 and holds a License No. 070302009 (Utah).

The current practice location address for Mike Burggraf is 495 S 100 E, Mantua, UT and can be reached out via phone at 435-720-1321.

Location: 495 S 100 E, Mantua, UT, 84302-0800
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1558726448
Provider Name
Mike Burggraf
Credential
MS,L-ATC,EMT
Provider Entity Type
Individual
Gender
Male
Address
495 S 100 E, Mantua, UT, 84302-0800
Phone Number
435-720-1321
Fax Number
Provider Enumeration Date
12/21/2015
Last Update Date
03/09/2024
institution
Provider Business Practice Location Address Details
Address
495 S 100 E
City
Mantua
State
Utah
Zip
84324
Phone Number
435-720-1321
Fax Number
person
Provider Business Mailing Address Details
Address
495 S 100 E
City
Mantua
State
Utah
Zip
84324
Phone Number
435-720-1321
Fax Number
person
Provider's Taxonomy Details 1
Type
Other Service Providers
Classification
Specialist
Speciality
-
Taxonomy
174400000X
License No.
070302009 (Utah)
Definition
An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree.
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