Provider Demographics
NPI:1144559808
Name:BAUERMEISTER, DONALD EUGENE (MD)
Entity type:Individual
Prefix:DR
First Name:DONALD
Middle Name:EUGENE
Last Name:BAUERMEISTER
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
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Other - Credentials:
Mailing Address - Street 1:125 16TH AVENUE EAST
Mailing Address - Street 2:CNTRL MED CTR SOUTH
Mailing Address - City:SEATTLE
Mailing Address - State:WA
Mailing Address - Zip Code:98112-5211
Mailing Address - Country:US
Mailing Address - Phone:509-241-7195
Mailing Address - Fax:
Practice Address - Street 1:6825 216TH ST SW
Practice Address - Street 2:
Practice Address - City:LYNNWOOD
Practice Address - State:WA
Practice Address - Zip Code:98036-7379
Practice Address - Country:US
Practice Address - Phone:425-712-8020
Practice Address - Fax:425-712-8349
Is Sole Proprietor?:No
Enumeration Date:2009-12-09
Last Update Date:2018-05-30
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
WAMD00010808207ZP0102X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207ZP0102XAllopathic & Osteopathic PhysiciansPathologyAnatomic Pathology & Clinical Pathology
Provider Identifiers
StateIdentifier IDID TypeIssuer
WAA14683Medicare UPIN