Provider Demographics
NPI:1457341984
Name:BEMER, JULIA A (MD)
Entity Type:Individual
Prefix:
First Name:JULIA
Middle Name:A
Last Name:BEMER
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
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Mailing Address - Street 1:3133 S TELEGRAPH RD
Mailing Address - Street 2:
Mailing Address - City:DEARBORN
Mailing Address - State:MI
Mailing Address - Zip Code:48124-3472
Mailing Address - Country:US
Mailing Address - Phone:313-565-6566
Mailing Address - Fax:313-561-5554
Practice Address - Street 1:3133 S TELEGRAPH RD
Practice Address - Street 2:
Practice Address - City:DEARBORN
Practice Address - State:MI
Practice Address - Zip Code:48124-3472
Practice Address - Country:US
Practice Address - Phone:313-565-6566
Practice Address - Fax:313-561-5554
Is Sole Proprietor?:Not Answered
Enumeration Date:2005-10-26
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
MIJB075377207Q00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207Q00000XAllopathic & Osteopathic PhysiciansFamily Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
MI4622742Medicaid
MIJB075377OtherSTATE LICENSE
MII09229Medicare UPIN
MI0Q26025Medicare ID - Type Unspecified