Individual
CAROL GREER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA-C
Contact information
Practice address
10000 TELEGRAPH RD, EMERGENCY MEDICINE DEPARTMENT, TAYLOR, MI 48180-3330
(313) 295-5007
(313) 295-6725
Mailing address
38935 ANN ARBOR RD, CREDENTIALING/PAYER CONTRACTING, LIVONIA, MI 48150-3397
(734) 632-0175
(734) 632-0182
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
5601004518
MI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
11712522
CAQH
—
Enumeration date
01/11/2006
Last updated
12/29/2020
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