Provider Demographics
NPI:1760604276
Name:BURKE, WILLIAM SEAN (MD)
Entity Type:Individual
Prefix:DR
First Name:WILLIAM
Middle Name:SEAN
Last Name:BURKE
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:WILLIAM
Other - Middle Name:SEAN
Other - Last Name:BURKE
Other - Suffix:
Other - Last Name Type:Other Name
Other - Credentials:MD
Mailing Address - Street 1:32530 ALPINE LN
Mailing Address - Street 2:
Mailing Address - City:EVERGREEN
Mailing Address - State:CO
Mailing Address - Zip Code:80439-7942
Mailing Address - Country:US
Mailing Address - Phone:720-836-9981
Mailing Address - Fax:720-386-9132
Practice Address - Street 1:2942 EVERGREEN PKWY STE 100
Practice Address - Street 2:
Practice Address - City:EVERGREEN
Practice Address - State:CO
Practice Address - Zip Code:80439-7909
Practice Address - Country:US
Practice Address - Phone:720-836-9981
Practice Address - Fax:720-386-9132
Is Sole Proprietor?:No
Enumeration Date:2007-05-03
Last Update Date:2023-07-18
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IL125-049888207N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207N00000XAllopathic & Osteopathic PhysiciansDermatology