Organization
OBSCARE PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JENNIFER VIDEAN (PROVIDER ENROLLMENT SPECIALIST)
(616) 532-8000
Entity
Organization
Contact information
Practice address
1 GENESYS PKWY, GRAND BLANC, MI 48439-8065
(800) 968-6866
Mailing address
1 GENESYS PKWY, GRAND BLANC, MI 48439-8065
(800) 968-6866
Taxonomy
Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
Primary
0000000000
MI
Other
Enumeration date
07/03/2006
Last updated
12/23/2010
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