Individual
WYLIE GILMAN BURKE
Active
Individual
WYLIE GILMAN BURKE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
MD00017576
WA
207SG0201X
Clinical Genetics (M.D.) Physician
MD00017576
WA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1427133222
—
WA
01
—
1778
INTERNAL ID-MOTOR VEHICLE ID
—
Enumeration date
10/27/2006
Last updated
12/06/2013
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