Provider Demographics
NPI:1356953723
Name:EAGER INTERNAL MEDICINE, PLLC
Entity type:Organization
Organization Name:EAGER INTERNAL MEDICINE, PLLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PHYSICIAN
Authorized Official - Prefix:
Authorized Official - First Name:JOULIANA
Authorized Official - Middle Name:
Authorized Official - Last Name:EAGER
Authorized Official - Suffix:
Authorized Official - Credentials:DO
Authorized Official - Phone:248-783-7060
Mailing Address - Street 1:720 N LAPEER RD STE 101
Mailing Address - Street 2:
Mailing Address - City:LAKE ORION
Mailing Address - State:MI
Mailing Address - Zip Code:48362-4011
Mailing Address - Country:US
Mailing Address - Phone:
Mailing Address - Fax:
Practice Address - Street 1:1177 S LAPEER RD
Practice Address - Street 2:
Practice Address - City:LAPEER
Practice Address - State:MI
Practice Address - Zip Code:48446-3081
Practice Address - Country:US
Practice Address - Phone:248-783-7060
Practice Address - Fax:833-979-0932
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2020-08-18
Last Update Date:2024-01-04
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207R00000XAllopathic & Osteopathic PhysiciansInternal MedicineGroup - Single Specialty