# GENESYS HEALTH ENTERPRISES

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

## Provider details

- **NPI number:** 1629289244
- **Authorized official:** MR. LARRY D BROTHERS (PRESIDENT)
- **Authorized official phone:** (810) 762-3662

## Contact information

- **Practice address:** 3909 BEECHER RD, FLINT, MI 48532-3602
- **Practice address phone:** (810) 762-3662
- **Mailing address:** 3909 BEECHER RD, FLINT, MI 48532-3602
- **Mailing address phone:** (810) 762-3662

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 208D00000X | General Practice Physician | — | MI | Yes |

## Other

- **Enumeration date:** 05/25/2007
- **Last updated:** 06/17/2008

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 01 | — | 0373650001 | HAP | MI |
| 01 | — | 0999849 | HEALTHPLUS | MI |
| 01 | — | 470B51484 | BCN | MI |
| 01 | — | 700B514490 | BCBS | MI |
