Provider Demographics
NPI:1770787905
Name:BURKARD, JOSHUA MATTHEW (DO)
Entity type:Individual
Prefix:DR
First Name:JOSHUA
Middle Name:MATTHEW
Last Name:BURKARD
Suffix:
Gender:M
Credentials:DO
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Other - Credentials:
Mailing Address - Street 1:18101 OAKWOOD BLVD
Mailing Address - Street 2:PO BOX 2500 - DEPARTMENT OF ANESTHESIOLOGY
Mailing Address - City:DEARBORN
Mailing Address - State:MI
Mailing Address - Zip Code:48124-4089
Mailing Address - Country:US
Mailing Address - Phone:313-436-2374
Mailing Address - Fax:313-593-8894
Practice Address - Street 1:18101 OAKWOOD BLVD
Practice Address - Street 2:DEPARTMENT OF ANESTHESIOLOGY
Practice Address - City:DEARBORN
Practice Address - State:MI
Practice Address - Zip Code:48124-4089
Practice Address - Country:US
Practice Address - Phone:313-436-2374
Practice Address - Fax:313-593-8894
Is Sole Proprietor?:Yes
Enumeration Date:2007-06-12
Last Update Date:2019-04-04
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
MI5101017279207L00000X, 207LP2900X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207LP2900XAllopathic & Osteopathic PhysiciansAnesthesiologyPain Medicine
No207L00000XAllopathic & Osteopathic PhysiciansAnesthesiology