Provider Demographics
NPI:1164957957
Name:BIRS, ANTOINETTE SUSAN (MD)
Entity Type:Individual
Prefix:
First Name:ANTOINETTE
Middle Name:SUSAN
Last Name:BIRS
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:UW IM RESIDENCY PROGRAM 1959 NE PACIFIC ST
Mailing Address - Street 2:BOX 356421
Mailing Address - City:SEATTLE
Mailing Address - State:WA
Mailing Address - Zip Code:98195-6421
Mailing Address - Country:US
Mailing Address - Phone:561-281-7745
Mailing Address - Fax:
Practice Address - Street 1:UW IM RESIDENCY PROGRAM 1959 NE PACIFIC ST
Practice Address - Street 2:BOX 356421
Practice Address - City:SEATTLE
Practice Address - State:WA
Practice Address - Zip Code:98185-6421
Practice Address - Country:US
Practice Address - Phone:561-281-7745
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2017-04-29
Last Update Date:2017-04-29
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes390200000XStudent, Health CareStudent in an Organized Health Care Education/Training Program