Provider Demographics
NPI:1912154964
Name:BURNS, TERENCE (MD, PHD)
Entity Type:Individual
Prefix:DR
First Name:TERENCE
Middle Name:
Last Name:BURNS
Suffix:
Gender:M
Credentials:MD, PHD
Other - Prefix:DR
Other - First Name:TERRY
Other - Middle Name:
Other - Last Name:BURNS
Other - Suffix:
Other - Last Name Type:Professional Name
Other - Credentials:MD, PHD
Mailing Address - Street 1:200 1ST ST SW
Mailing Address - Street 2:
Mailing Address - City:ROCHESTER
Mailing Address - State:MN
Mailing Address - Zip Code:55905-0001
Mailing Address - Country:US
Mailing Address - Phone:507-284-8167
Mailing Address - Fax:507-284-5206
Practice Address - Street 1:200 1ST ST SW
Practice Address - Street 2:
Practice Address - City:ROCHESTER
Practice Address - State:MN
Practice Address - Zip Code:55905-0001
Practice Address - Country:US
Practice Address - Phone:507-284-8167
Practice Address - Fax:507-284-5206
Is Sole Proprietor?:No
Enumeration Date:2008-08-21
Last Update Date:2020-08-12
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MN61006207T00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207T00000XAllopathic & Osteopathic PhysiciansNeurological Surgery