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Organization
GENESYS
Active
Organization
GENESYS
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. CURTIS DETLOR IRVINE M.D. (RESIDENT)
(810) 394-8709
Entity
Organization
Contact information
Practice address
1 GENESYS PKWY, GRAND BLANC, MI 48439-8065
(810) 394-8709
Mailing address
6032 WESTKNOLL DR, APT. 582, GRAND BLANC, MI 48439-5331
(810) 394-8709
Taxonomy
Speciality
Code
Description
License number
State
282N00000X
General Acute Care Hospital
Primary
4301103698
MI
Other
Enumeration date
08/14/2013
Last updated
08/14/2013
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