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Organization

GENESYS INTEGRATED GROUP PRACTICE PC

Active
Organization subpart
No

Provider details

NPI number
Authorized official
PAUL GARSON (CHIEF FINANCIAL OFFICER)
(810) 424-2007
Entity
Organization

Contact information

Practice address
307 E COURT ST, FLINT, MI 48502-1611
(810) 424-2007
(810) 743-1099
Mailing address
3495 S CENTER RD, BURTON, MI 48519-1455
(810) 424-2007
(810) 743-1099

Taxonomy

Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
MI

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
500B513310
BCBSM NP GROUP NUMBER
MI
Enumeration date
02/02/2007
Last updated
04/21/2014
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