Organization
GCC CHIROPRACTIC OF GRAND BLANC PLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. SALVATORE GENNERO JR. DC (DOCTOR OF CHIROPRACTIC MANAGER)
(810) 694-2200
Entity
Organization
Contact information
Practice address
11319 SOUTH SAGINAW STREET, GRAND BLANC, MI 48439-1268
(810) 694-2200
(810) 694-6750
Mailing address
11319 SOUTH SAGINAW STREET, GRAND BLANC, MI 48439-1268
(810) 694-2200
(810) 694-6750
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
2301007830
MI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
01006003
HEALTHPLUS
—
01
—
1006672
MCLAREN HEALTH ADVANTAGE
—
01
—
950B511800
BCBS OF MI
MI
01
—
P00009050
MEDICARE RAILROAD CARRIER
—
Enumeration date
05/21/2007
Last updated
11/07/2007
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