Provider Demographics
NPI:1073381232
Name:BURMER, GLENNA CHRISTEEN (MD)
Entity Type:Individual
Prefix:DR
First Name:GLENNA
Middle Name:CHRISTEEN
Last Name:BURMER
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 1:7516 55TH PL NE
Mailing Address - Street 2:
Mailing Address - City:SEATTLE
Mailing Address - State:WA
Mailing Address - Zip Code:98115-6361
Mailing Address - Country:US
Mailing Address - Phone:206-465-6841
Mailing Address - Fax:
Practice Address - Street 1:7516 55TH PL NE
Practice Address - Street 2:
Practice Address - City:SEATTLE
Practice Address - State:WA
Practice Address - Zip Code:98115-6361
Practice Address - Country:US
Practice Address - Phone:206-465-6841
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2023-12-18
Last Update Date:2023-12-18
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
WA00023312207ZP0101X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207ZP0101XAllopathic & Osteopathic PhysiciansPathologyAnatomic Pathology