Individual
DR. JULIA E GRIESEMER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
1235 E CHEROKEE ST, SPRINGFIELD, MO 65804-2203
(417) 820-8364
(417) 820-7136
Mailing address
PO BOX 2580, SPRINGFIELD, MO 65801-2580
(417) 829-4620
Taxonomy
Speciality
Code
Description
License number
State
208100000X
Physical Medicine & Rehabilitation Physician
Primary
106903
MO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1033252945
—
MO
05
—
126001001
—
AR
01
—
13884
MO BLUE SHIELD
MO
01
—
81698
ARK BLUE SHIELD
AR
Enumeration date
02/14/2007
Last updated
07/02/2013
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