Healthcare Provider Details

I. General information

NPI: 1407907835
Provider Name (Legal Business Name): MICHAEL EDWARD GREER M.D.
Entity Type: Individual
Gender: Male
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 01/13/2007
Last Update Date: 07/08/2007
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

509 OLIVE WAY STE 1349
SEATTLE WA
98101-2549
US

IV. Provider business mailing address

509 OLIVE WAY STE 1349
SEATTLE WA
98101-2549
US

V. Phone/Fax

Practice location:
  • Phone: 206-343-5985
  • Fax: 206-343-2356
Mailing address:
  • Phone: 206-343-5985
  • Fax: 206-343-2356

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207VG0400X
TaxonomyGynecology Physician
License NumberGREERME502O1
License Number StateWA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: