MEDICARE: DR. JOULIANA EAGER D.O.

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	207R00000X	Internal Medicine Physician	34-011394	OH
2	207R00000X	Internal Medicine Physician	5101018814	MI

Medicare Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	MI5752071	OTHER	MI	MEDICARE

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
2	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number	:	1508186404
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. JOULIANA EAGER D.O.

Provider Business Mailing Address
First Line	:	1177 S LAPEER RD
Second Line	:
City	:	LAPEER
State	:	MI
Zip	:	48446-3081
Country	:	US
Telephone Number	:	248-783-7060
Fax Number	:	833-979-0932

Provider Business Practice Location Address
First Line	:	1177 S LAPEER RD
Second Line	:
City	:	LAPEER
State	:	MI
Zip	:	48446-3081
Country	:	US
Telephone Number	:	248-783-7060
Fax Number	:	833-979-0932

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

Provider Enumeration Date	:	06/03/2010
Last Update Date	:	01/04/2024

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