Organization
GENESYS REGIONAL MEDICAL CENTER
Active
Organization subpart
No
Provider details
NPI number
Authorized official
RICHARD LABAERE DO (MEDICAL EDUCATION DIRECTOR)
(810) 715-4300
Entity
Organization
Contact information
Practice address
4642 GENESYS PKWY, GRAND BLANC, MI 48439-8067
(810) 606-5830
(810) 606-5639
Mailing address
PO BOX 2015, FLINT, MI 48501-2015
(810) 606-5830
(810) 606-5639
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
—
—
2080P0202X
Pediatric Cardiology Physician
Primary
—
MI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
3G00009
HEALTHPLUS ID NUMBER
MI
Enumeration date
03/26/2007
Last updated
07/21/2022
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