Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
GREGORY E. BURGESS, PA-C
ActiveSurgical Physician Assistant · MAUSTON, WI
Registration Details
- NPI Number
- 1932458932
- Provider Type
- Individual
- Gender
- Male
- NPI Issued
- Sep 5, 2012 (13.659141798578 yrs)
- Last Updated
- Jan 24, 2019
- Licenses
-
3023-23 (WI)3023-23 (WI)
Practice Information
- Address
-
1040 DIVISION STMAUSTON, WI, 539481931Browse WI providers · Browse ZIP 53948
- Phone
- 6088475000
- Fax
- 6088479875
- Primary Specialty
-
Surgical Physician Assistant
363AS0400X
- 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.