MEDICARE: JULIA ANNE PFEIFER-LEDFORD

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	171M00000X	Case Manager/Care Coordinator

General Provider Information

NPI Number	:	1831766179
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	JULIA ANNE PFEIFER-LEDFORD

Provider Business Mailing Address
First Line	:	43097 WOODWARD AVE STE 100
Second Line	:
City	:	BLOOMFIELD TOWNSHIP
State	:	MI
Zip	:	48302-5042
Country	:	US
Telephone Number	:	248-836-0040
Fax Number	:

Provider Business Practice Location Address
First Line	:	43097 WOODWARD AVE STE 100
Second Line	:
City	:	BLOOMFIELD TOWNSHIP
State	:	MI
Zip	:	48302-5042
Country	:	US
Telephone Number	:	248-836-0040
Fax Number	:

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

Provider Enumeration Date	:	06/07/2021
Last Update Date	:	02/04/2026

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