Organization
GENESYS REGIONAL MEDICAL CENTER
Active
Other names
WATERFORD TEEN HEALTH CENTER
Organization subpart
No
Provider details
NPI number
Authorized official
MISS BRENDA L MCCULLOCH (BILLING AND TA COORDINATOR)
(517) 908-0847
Entity
Organization
Contact information
Practice address
2989 VAN ZANDT RD, WATERFORD, MI 48329-3360
(248) 674-4876
(248) 674-6349
Mailing address
2989 VAN ZANDT RD, WATERFORD, MI 48329-3360
(248) 674-4876
(248) 674-6349
Taxonomy
Speciality
Code
Description
License number
State
261QS1000X
Student Health Clinic/Center
Primary
—
—
Other
Enumeration date
08/28/2008
Last updated
08/28/2008
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