Provider Demographics
NPI:1003813726
Name:BURNS, ROBERT ANDREW II (DPM)
Entity Type:Individual
Prefix:DR
First Name:ROBERT
Middle Name:ANDREW
Last Name:BURNS
Suffix:II
Gender:M
Credentials:DPM
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:28000 ROLLCREST RD
Mailing Address - Street 2:
Mailing Address - City:FARMINGTON HILLS
Mailing Address - State:MI
Mailing Address - Zip Code:48334-4016
Mailing Address - Country:US
Mailing Address - Phone:248-635-6985
Mailing Address - Fax:
Practice Address - Street 1:28000 ROLLCREST RD
Practice Address - Street 2:
Practice Address - City:FARMINGTON HILLS
Practice Address - State:MI
Practice Address - Zip Code:48334-4016
Practice Address - Country:US
Practice Address - Phone:248-853-5172
Practice Address - Fax:248-853-5249
Is Sole Proprietor?:Yes
Enumeration Date:2005-07-07
Last Update Date:2022-01-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MI5901001461213E00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes213E00000XPodiatric Medicine & Surgery Service ProvidersPodiatrist
Provider Identifiers
StateIdentifier IDID TypeIssuer
MI2595314Medicaid
382888838OtherCOMMERCIAL
U01730Medicare UPIN
382888838OtherCOMMERCIAL