Individual
DR. DANETTE SWANSON GLASSY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
2553 76TH AVE SE, MERCER ISLAND, WA 98040-2758
(206) 275-2122
(206) 275-0860
Mailing address
2553 76TH AVE SE, MERCER ISLAND, WA 98040-2758
(206) 275-2122
(206) 275-0860
Taxonomy
Speciality
Code
Description
License number
State
2080A0000X
Pediatric Adolescent Medicine Physician
Primary
25593
WA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1052885
—
WA
Enumeration date
08/29/2006
Last updated
07/08/2007
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