Organization
GENESYS PRACTICE PARTNERS INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JOANN HERMAN RN (VP PHYSICIAN SERVICES)
(810) 606-5893
Entity
Organization
Contact information
Practice address
1 GENESYS PKWY, GRAND BLANC, MI 48439-8065
(810) 606-5893
(810) 606-9560
Mailing address
1 GENESYS PKWY, GRAND BLANC, MI 48439-8065
(810) 606-5893
(810) 606-9560
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
—
MI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0B51462
BCBSM
MI
Enumeration date
05/04/2007
Last updated
01/15/2010
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