Individual
DR. JULIE P. PHILLIPS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
1200 E MICHIGAN AVE, STE 245A, LANSING, MI 48912-1800
(517) 364-5710
(517) 364-5718
Mailing address
804 SERVICE RD, A201, EAST LANSING, MI 48824-7015
(517) 884-2976
(517) 432-3928
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
4301083620
MI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1609995000
—
MI
05
—
5208521
—
MI
Enumeration date
03/28/2007
Last updated
07/12/2016
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