Provider Demographics
NPI:1093721839
Name:T.M. BURANDT D.O. & ASSOCIATES PC
Entity Type:Organization
Organization Name:T.M. BURANDT D.O. & ASSOCIATES PC
Other - Org Name:CHEBOYGAN SURGICAL ASSOCIATES
Other - Org Type:Doing Business As
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:DR
Authorized Official - First Name:CRAIG
Authorized Official - Middle Name:A
Authorized Official - Last Name:DUNCAN
Authorized Official - Suffix:
Authorized Official - Credentials:DO
Authorized Official - Phone:231-627-4364
Mailing Address - Street 1:810 S MAIN ST
Mailing Address - Street 2:SUITE 1
Mailing Address - City:CHEBOYGAN
Mailing Address - State:MI
Mailing Address - Zip Code:49721-2290
Mailing Address - Country:US
Mailing Address - Phone:231-627-4364
Mailing Address - Fax:231-627-7758
Practice Address - Street 1:810 S MAIN ST
Practice Address - Street 2:SUITE 1
Practice Address - City:CHEBOYGAN
Practice Address - State:MI
Practice Address - Zip Code:49721-2290
Practice Address - Country:US
Practice Address - Phone:231-627-4364
Practice Address - Fax:231-627-7758
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-08-01
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes208600000XAllopathic & Osteopathic PhysiciansSurgeryGroup - Single Specialty