Provider Demographics
NPI:1437154200
Name:GREER, JULIA SERGE (MD)
Entity Type:Individual
Prefix:
First Name:JULIA
Middle Name:SERGE
Last Name:GREER
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
Other - First Name:YULIYA
Other - Middle Name:SERGE
Other - Last Name:GREER
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:MD
Mailing Address - Street 1:26850 PROVIDENCE PKWY
Mailing Address - Street 2:SUITE 350
Mailing Address - City:NOVI
Mailing Address - State:MI
Mailing Address - Zip Code:48374-1213
Mailing Address - Country:US
Mailing Address - Phone:248-662-4110
Mailing Address - Fax:248-662-4120
Practice Address - Street 1:26850 PROVIDENCE PKWY
Practice Address - Street 2:SUITE 350
Practice Address - City:NOVI
Practice Address - State:MI
Practice Address - Zip Code:48374-1213
Practice Address - Country:US
Practice Address - Phone:248-662-4110
Practice Address - Fax:248-662-4120
Is Sole Proprietor?:No
Enumeration Date:2005-06-16
Last Update Date:2014-04-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MI4301073544207RG0100X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207RG0100XAllopathic & Osteopathic PhysiciansInternal MedicineGastroenterology
Provider Identifiers
StateIdentifier IDID TypeIssuer
MI5634046OtherFIRST HEALTH MAIL HANDLER
MIP00247620OtherMEDICARE RAILROAD
MI4721580Medicaid
MI1106348022OtherBCBSM
MI0P14730001OtherMEDICARE ADVANTAGE BLUE
MI0634802OtherBLUE CARE NETWORK
MI1308407OtherCIGNA
MI141590OtherPRIORITY HEALTH
MI1437154200N1OtherHEALTH PLUS
MI0P14730001Medicare PIN
MI141590OtherPRIORITY HEALTH