MEDICARE: DONALD ERNEST GREER JR.

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	208M00000X	Hospitalist Physician	71015533A	IN
2	363LF0000X	Family Nurse Practitioner	28200905A	IN
3	363LF0000X	Family Nurse Practitioner	71015533A	IN

General Provider Information

NPI Number	:	1013606011
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DONALD ERNEST GREER JR.

Provider Business Mailing Address
First Line	:	6220 S 775 W
Second Line	:
City	:	SAN PIERRE
State	:	IN
Zip	:	46374-9649
Country	:	US
Telephone Number	:	574-207-3072
Fax Number	:

Provider Business Practice Location Address
First Line	:	3500 FRANCISCAN WAY
Second Line	:
City	:	MICHIGAN CITY
State	:	IN
Zip	:	46360-0021
Country	:	US
Telephone Number	:	219-879-8511
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	05/04/2023
Last Update Date	:	05/21/2026

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Directions to “ DONALD ERNEST GREER JR. ” Practice Location

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