Provider Demographics
NPI:1073004578
Name:BURKE, MEGAN THERESE (MD)
Entity Type:Individual
Prefix:
First Name:MEGAN
Middle Name:THERESE
Last Name:BURKE
Suffix:
Gender:F
Credentials:MD
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Mailing Address - Street 1:1500 E MEDICAL CENTER DRIVE SPC 5718
Mailing Address - Street 2:D2204 MEDICAL PROFESSIONAL BUILDING
Mailing Address - City:ANN ARBOR
Mailing Address - State:MI
Mailing Address - Zip Code:48109-5718
Mailing Address - Country:US
Mailing Address - Phone:734-647-8100
Mailing Address - Fax:
Practice Address - Street 1:1500 E MEDICAL CENTER DRIVE SPC 5718
Practice Address - Street 2:D2204 MEDICAL PROFESSIONAL BUILDING
Practice Address - City:ANN ARBOR
Practice Address - State:MI
Practice Address - Zip Code:48109-5718
Practice Address - Country:US
Practice Address - Phone:734-647-8100
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2018-05-21
Last Update Date:2022-07-29
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Provider Licenses
StateLicense IDTaxonomies
MI43015042962080P0006X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2080P0006XAllopathic & Osteopathic PhysiciansPediatricsDevelopmental - Behavioral Pediatrics