Organization
GENESYS PRACTICE PARTNERS INC
Active
Other names
Henry Ford Genesys Group, Henry Ford Genesys Medical Group
Organization subpart
No
Provider details
NPI number
Authorized official
DAVID LOPEZ (DIRECTOR OF 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
1460 N CENTER RD, BURTON, MI 48509-1429
(810) 606-5893
(810) 606-9560
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
—
—
207RC0000X
Cardiovascular Disease Physician
—
—
208000000X
Pediatrics Physician
—
—
2080N0001X
Neonatal-Perinatal Medicine Physician
—
—
2086S0129X
Vascular Surgery Physician
—
—
208G00000X
Thoracic Surgery (Cardiothoracic Vascular Surgery) Physician
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
700B510480
BCBS GPP GROUP NUMBER
MI
Enumeration date
05/09/2006
Last updated
04/10/2026
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