| Doctor Name: | WILLIAM GRANT BURMER |
| NPI Number: | 1063556579 |
| Entity Type Code: | Individual (1) |
| Gender: | M |
| Credentials: | RDMS |
| License Number: | |
| Business Practice Address: | 1217 De Cesari Ave Madera, CA - 936373023 |
| Business Phone Number: | 5596750146 |
| Business Fax Number: | 5596614801 |
| Mailing Address: | Po Box 1082, MADERA |
| State: | CA |
| Postal Code: | 936391082 |
| Phone Number: | 5596750146 |
| Fax Number: | 5596614801 |
| NPI Enumeration Date: | 02/16/2007 |
| NPI Last Update Date: | 07/08/2007 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 2471S1302X |
| License Number: | |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | |
| Taxonomy Type: | Technologists, Technicians & Other Technical Service Providers |
| Taxonomy Classification: | Radiologic Technologist |
| Taxonomy Specialization: | Sonography |
| Taxonomy Definition: | |