Most Relevant Information
Provider Data
| NPI Number: | 1003038811 |
| Provider Name: | BURTON J MOLLMAN PA-C |
| Entity Type: | Individual |
| Taxonomy Code: | 363A00000X |
| Specialty: | Physician Assistant |
| License Number: | PAC0418 |
Most Important Dates
| Enumeration Date: | 05/02/2007 |
| Last Updated: | 11/25/2020 |
Provider Practice Location
4401 COLEMAN ST STE 107
BISMARCK
ND
585031371
Practice Location Phone/Fax
| Phone: | 7017514340 |
| Fax: | 7017514340 |
Provider Mailing Location
4401 COLEMAN ST STE 107
BISMARCK
ND
585031371
Provider Mailing Phone/Fax
| Phone: | 7017514340 |
| Fax: | 7017514332 |