Provider Demographics
NPI:1750072674
Name:BURGER, JANET (CPHT)
Entity type:Individual
Prefix:
First Name:JANET
Middle Name:
Last Name:BURGER
Suffix:
Gender:F
Credentials:CPHT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:5280 N HURON RD
Mailing Address - Street 2:
Mailing Address - City:OSCODA
Mailing Address - State:MI
Mailing Address - Zip Code:48750-9560
Mailing Address - Country:US
Mailing Address - Phone:989-739-4255
Mailing Address - Fax:989-739-3538
Practice Address - Street 1:5280 N HURON RD
Practice Address - Street 2:
Practice Address - City:OSCODA
Practice Address - State:MI
Practice Address - Zip Code:48750-9560
Practice Address - Country:US
Practice Address - Phone:989-739-4255
Practice Address - Fax:989-739-3538
Is Sole Proprietor?:No
Enumeration Date:2023-05-19
Last Update Date:2023-05-19
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MI5303021336183700000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183700000XPharmacy Service ProvidersPharmacy Technician