Provider Demographics
NPI:1831183086
Name:JULIA S. GREER, M.D., PLLC
Entity type:Organization
Organization Name:JULIA S. GREER, M.D., PLLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:JULIA
Authorized Official - Middle Name:S
Authorized Official - Last Name:GREER
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:248-662-4110
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
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2005-09-02
Last Update Date:2014-04-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QM2500XAmbulatory Health Care FacilitiesClinic/CenterMedical Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
MI1308407OtherCIGNA
MI1437154200N1OtherHEALTH PLUS
MI4721580Medicaid
MI0P14730001OtherMEDICARE ADVANTAGE BLUE
MI141590OtherPRIORITY HEALTH
MIP00247620OtherMEDICARE RAILROAD
MI1106348022OtherBCBSM
MI0634802OtherBLUE CARE NETWORK
MI5634046OtherFIRST HEALTH MAIL HANDLER
MI0P14730001OtherMEDICARE ADVANTAGE BLUE
MI1106348022OtherBCBSM