Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Mr. Richard Lawrence Burgett Sr., CSA

Individual provider Surgical Physician Assistant · NPI 1912139544

Mr. Richard Lawrence Burgett Sr., CSA is a Surgical Physician Assistant in Traverse City, Michigan. Practices as a sole proprietor. Licensed in Michigan.

Licensed in
MI
In the registry since
2009

Practice location Address checks out

4327 Stone Ridge Dr
Traverse City, MI 49684-7958
Phone: (231) 929-7540
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Surgical Physician Assistant (primary) Taxonomy 363AS0400X (MI)

Record details

NPI number1912139544
Entity typeIndividual (Type 1)
GenderMale
Credentials CSA
Sole proprietorYes
NPI enumeratedAugust 15, 2009
Last updated in NPPESAugust 15, 2009

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