# GENESIS PHYSICIANS GROUP,

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

## Provider details

- **NPI number:** 1447525431
- **Authorized official:** MRS. ALLIE GALOVICH CPC (BILLER)
- **Authorized official phone:** (248) 593-9780

## Contact information

- **Practice address:** 29777 TELEGRAPH RD, SUITE 2415, SOUTHFIELD, MI 48034-1303
- **Practice address phone:** (248) 419-2416
- **Practice address fax:** (248) 419-2374
- **Mailing address:** PO BOX 2477, BIRMINGHAM, MI 48012-2477
- **Mailing address phone:** (248) 270-7246
- **Mailing address fax:** (866) 380-2182

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 208VP0000X | Pain Medicine Physician | — | NULL | Yes |
| 208VP0000X | Pain Medicine Physician | — | — | Yes |

## Other

- **Enumeration date:** 03/09/2012
- **Last updated:** 11/06/2012