Provider Demographics
NPI:1528253689
Name:BURTON, ANN YVETTE (MD)
Entity type:Individual
Prefix:DR
First Name:ANN
Middle Name:YVETTE
Last Name:BURTON
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:5965 AUGUSTA LN
Mailing Address - Street 2:
Mailing Address - City:GRAND BLANC
Mailing Address - State:MI
Mailing Address - Zip Code:48439-9474
Mailing Address - Country:US
Mailing Address - Phone:313-617-4226
Mailing Address - Fax:
Practice Address - Street 1:12741 S SAGINAW ST
Practice Address - Street 2:SUITE 402
Practice Address - City:GRAND BLANC
Practice Address - State:MI
Practice Address - Zip Code:48439-2460
Practice Address - Country:US
Practice Address - Phone:810-694-7412
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2007-09-12
Last Update Date:2013-05-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MI4301083462207R00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207R00000XAllopathic & Osteopathic PhysiciansInternal Medicine