Provider Demographics
NPI:1245254465
Name:BYRD, JULIE A (MD)
Entity type:Individual
Prefix:DR
First Name:JULIE
Middle Name:A
Last Name:BYRD
Suffix:
Gender:F
Credentials:MD
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Mailing Address - Street 1:405 BARCLAY CIR
Mailing Address - Street 2:
Mailing Address - City:ROCHESTER HILLS
Mailing Address - State:MI
Mailing Address - Zip Code:48307-4573
Mailing Address - Country:US
Mailing Address - Phone:248-853-3131
Mailing Address - Fax:248-853-3275
Practice Address - Street 1:405 BARCLAY CIR
Practice Address - Street 2:
Practice Address - City:ROCHESTER HILLS
Practice Address - State:MI
Practice Address - Zip Code:48307-4573
Practice Address - Country:US
Practice Address - Phone:248-853-3131
Practice Address - Fax:248-853-3275
Is Sole Proprietor?:Yes
Enumeration Date:2006-07-27
Last Update Date:2014-02-11
Deactivation Date:
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Provider Licenses
StateLicense IDTaxonomies
MI4301083811207N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207N00000XAllopathic & Osteopathic PhysiciansDermatology
Provider Identifiers
StateIdentifier IDID TypeIssuer
MI0P55960OtherMEDICARE
MIF37146Medicare UPIN