=====================================================
General NPI Number Information
=====================================================
NPI Number | 1831183086
-----------------------------------------------------
Entity Type | Organization
-----------------------------------------------------
Legal Business Name | JULIA S. GREER, M.D., PLLC
-----------------------------------------------------
=====================================================
Dates
=====================================================
Enumeration Date | 09/02/2005
-----------------------------------------------------
Last Update Date | 04/22/2014
-----------------------------------------------------
=====================================================
Provider Practice Location Address
=====================================================
Address Line | 26850 PROVIDENCE PKWY SUITE 350
-----------------------------------------------------
City | NOVI
-----------------------------------------------------
State | MI
-----------------------------------------------------
Zip | 48374-1213
-----------------------------------------------------
Country | US
-----------------------------------------------------
Telephone | 248-662-4110
-----------------------------------------------------
Fax | 248-662-4120
-----------------------------------------------------
=====================================================
Provider Business Mailing Address
=====================================================
Address Line | 26850 PROVIDENCE PKWY SUITE 350
-----------------------------------------------------
City | NOVI
-----------------------------------------------------
State | MI
-----------------------------------------------------
Zip | 48374-1213
-----------------------------------------------------
Country | US
-----------------------------------------------------
Telephone | 248-662-4110
-----------------------------------------------------
Fax | 248-662-4120
-----------------------------------------------------
=====================================================
Authorized Official
=====================================================
Title or Position | OWNER
-----------------------------------------------------
Name | JULIA S GREER
-----------------------------------------------------
Credential | M.D.
-----------------------------------------------------
Telephone | 248-662-4110
-----------------------------------------------------
=====================================================
Scope of Practice (Provider's specialty)
=====================================================
Taxonomy #1
-----------------------------------------------------
Taxonomy Code | 261QM2500X
-----------------------------------------------------
Taxonomy Name | Medical Specialty Clinic/Center
-----------------------------------------------------
License Number |
-----------------------------------------------------
License Number State |
-----------------------------------------------------