Provider Demographics
NPI:1063556579
Name:BURMER, WILLIAM GRANT (RDMS)
Entity type:Individual
Prefix:
First Name:WILLIAM
Middle Name:GRANT
Last Name:BURMER
Suffix:
Gender:M
Credentials:RDMS
Other - Prefix:
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Other - Credentials:
Mailing Address - Street 1:PO BOX 1082
Mailing Address - Street 2:
Mailing Address - City:MADERA
Mailing Address - State:CA
Mailing Address - Zip Code:93639-1082
Mailing Address - Country:US
Mailing Address - Phone:559-675-0146
Mailing Address - Fax:559-661-4801
Practice Address - Street 1:1217 DE CESARI AVE
Practice Address - Street 2:
Practice Address - City:MADERA
Practice Address - State:CA
Practice Address - Zip Code:93637-3023
Practice Address - Country:US
Practice Address - Phone:559-675-0146
Practice Address - Fax:559-661-4801
Is Sole Proprietor?:Yes
Enumeration Date:2007-02-16
Last Update Date:2007-07-08
Deactivation Date:
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Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2471S1302XTechnologists, Technicians & Other Technical Service ProvidersRadiologic TechnologistSonography