MEDICARE: JULIE KOELZER FNP-BC

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	363LP2300X	Primary Care Nurse Practitioner	4704290466	MI

General Provider Information

NPI Number	:	1790353811
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	JULIE KOELZER FNP-BC

Provider Business Mailing Address
First Line	:	4050 W MAPLE RD STE 101
Second Line	:
City	:	BLOOMFIELD TOWNSHIP
State	:	MI
Zip	:	48301-3118
Country	:	US
Telephone Number	:	248-885-8211
Fax Number	:

Provider Business Practice Location Address
First Line	:	4050 W MAPLE RD STE 101
Second Line	:
City	:	BLOOMFIELD TOWNSHIP
State	:	MI
Zip	:	48301-3118
Country	:	US
Telephone Number	:	248-885-8211
Fax Number	:

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

Provider Enumeration Date	:	06/15/2021
Last Update Date	:	04/01/2023

Similar Medicare Providers

1508283649 — BRYAN ABRAMS D.C.
Practice Location Address:

4050 W MAPLE RD STE 108
BLOOMFIELD HILLS, MI
48301-3118

Practice Phone: 310-286-0474
Practice Fax: 323-922-3283

1184153223 — HAYLEY M LEICHTMAN FNP-BC
Practice Location Address:

4050 W MAPLE RD STE 101
BLOOMFIELD HILLS, MI
48301-3118

Practice Phone: 248-885-8211
Practice Fax:

1104381847 — SHELBY BREWINGTON PA-C
Practice Location Address:

4050 W MAPLE RD STE 101
BLOOMFIELD HILLS, MI
48301-3118

Practice Phone: 248-885-8211
Practice Fax:

1558920934 — MRS. BRITTANY NICHOLE POWELL FNP-C
Practice Location Address:

4050 W MAPLE RD STE 101
BLOOMFIELD HILLS, MI
48301-3118

Practice Phone: 248-885-8211
Practice Fax:

1518570563 — JENNAH MARIE PALMER FNP-C
Practice Location Address:

4050 W MAPLE RD STE 101
BLOOMFIELD HILLS, MI
48301-3118

Practice Phone: 248-855-8211
Practice Fax:

1568051100 — ECNUTRITION LLC
Practice Location Address:

4050 W MAPLE RD STE 108
BLOOMFIELD HILLS, MI
48301-3118

Practice Phone: 248-563-6866
Practice Fax:

Directions to “ JULIE KOELZER FNP-BC” Practice Location

Language	Start Address	Practice Location

These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.

Copyright © 2007-2026 (Powered by Swiss Vault Engine), all rights reserved. HIPAA liability, trademark, document use and software licensing rules apply. All registered trademarks, used in the content, are the property of their owners. Your interactions with this site are in accordance with our Terms of Use and Privacy Policy.