Provider Demographics
NPI:1316026214
Name:BURFEIND, JOHN (MD)
Entity Type:Individual
Prefix:
First Name:JOHN
Middle Name:
Last Name:BURFEIND
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:3200 PLEASANT VALLEY RD
Mailing Address - Street 2:DIVISION OF HEMATOLOGY/ONCOLOGY
Mailing Address - City:WEST BEND
Mailing Address - State:WI
Mailing Address - Zip Code:53095-9274
Mailing Address - Country:US
Mailing Address - Phone:262-836-7200
Mailing Address - Fax:262-306-7851
Practice Address - Street 1:3200 PLEASANT VALLEY RD
Practice Address - Street 2:DIVISION OF HEMATOLOGY/ONCOLOGY
Practice Address - City:WEST BEND
Practice Address - State:WI
Practice Address - Zip Code:53095-9274
Practice Address - Country:US
Practice Address - Phone:262-836-7200
Practice Address - Fax:262-306-7851
Is Sole Proprietor?:No
Enumeration Date:2006-11-03
Last Update Date:2019-12-05
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
WI37118207RH0003X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207RH0003XAllopathic & Osteopathic PhysiciansInternal MedicineHematology & Oncology
Provider Identifiers
StateIdentifier IDID TypeIssuer
WI1316026214Medicaid
WI736012571Medicare PIN
WIG71515Medicare UPIN
WI680862559Medicare PIN