Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
RICHARD WAYNE BURRIS, PA-C
ActiveRICHARD WAYNE BURRIS, PA-C is a Physician Assistant healthcare provider located in GRANTSBURG, Wisconsin. NPI 1790745446 is currently active in the NPPES registry. Verify at CMS.
Physician Assistant · GRANTSBURG, WI
Registration Details
- NPI Number
- 1790745446
- Provider Type
- Individual
- Gender
- Male
- NPI Issued
- Mar 26, 2006 (20.419593732049 yrs)
- Last Updated
- Jun 19, 2018
- Licenses
-
4333-23 (WI)9113 (MN)
Practice Information
- Address
-
257 W SAINT GEORGE AVEGRANTSBURG, WI, 54840Browse WI providers · Browse ZIP 54840
- Phone
- 7154635353
- Fax
- 7154632753
- Primary Specialty
-
Physician Assistant
363A00000X
- Additional Specialty
- Physician Assistant
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.