Organization
ASCENSION GENESYS HOSPITAL
Active
Other names
GENESYS PALLIATIVE CARE
Organization subpart
No
Provider details
NPI number
Authorized official
JOSEPHINE HERMAN (DIRECTOR PHYSICIAN SERVICES)
(810) 606-5893
Entity
Organization
Contact information
Practice address
1 GENESYS PKWY, GRAND BLANC, MI 48439-8065
(810) 606-5000
Mailing address
5445 ALI DR, GRAND BLANC, MI 48439-5191
(810) 695-9996
Taxonomy
Speciality
Code
Description
License number
State
207RH0002X
Hospice and Palliative Medicine (Internal Medicine) Physician
Primary
4707214779
MI
363L00000X
Nurse Practitioner
4707214779
MI
Other
Enumeration date
04/29/2014
Last updated
03/11/2019
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