# GENESYS INTEGRATED GROUP PRACTICE PC

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1386782381
- **Authorized official:** PAUL GARSON (CHIEF FINANCIAL OFFICER)
- **Authorized official phone:** (810) 424-2007

## Contact information

- **Practice address:** 307 E COURT ST, FLINT, MI 48502-1611
- **Practice address phone:** (810) 424-2007
- **Practice address fax:** (810) 743-1099
- **Mailing address:** 3495 S CENTER RD, BURTON, MI 48519-1455
- **Mailing address phone:** (810) 424-2007
- **Mailing address fax:** (810) 743-1099

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 363L00000X | Nurse Practitioner | — | MI | Yes |

## Other

- **Enumeration date:** 02/02/2007
- **Last updated:** 04/21/2014

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 01 | — | 500B513310 | BCBSM NP GROUP NUMBER | MI |
