Provider Demographics
NPI:1134349475
Name:FINK, BURTON M
Entity type:Individual
Prefix:DR
First Name:BURTON
Middle Name:M
Last Name:FINK
Suffix:
Gender:M
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:804 HOWARD MOORE RD
Mailing Address - Street 2:
Mailing Address - City:HOT SPRINGS
Mailing Address - State:NC
Mailing Address - Zip Code:28743-7295
Mailing Address - Country:US
Mailing Address - Phone:828-622-0009
Mailing Address - Fax:828-622-3437
Practice Address - Street 1:804 HOWARD MOORE RD
Practice Address - Street 2:
Practice Address - City:HOT SPRINGS
Practice Address - State:NC
Practice Address - Zip Code:28743-7295
Practice Address - Country:US
Practice Address - Phone:828-622-0009
Practice Address - Fax:828-622-3437
Is Sole Proprietor?:Yes
Enumeration Date:2007-04-27
Last Update Date:2008-06-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MI4301036601208800000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes208800000XAllopathic & Osteopathic PhysiciansUrology
Provider Identifiers
StateIdentifier IDID TypeIssuer
MI1240692Medicaid
MIB45036Medicare UPIN
MI0C36142002Medicare ID - Type Unspecified