Organization
GENESEE PEDIATRICS PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. MANAR HAMMOUD M.D. (PHYSICIAN)
(810) 720-1510
Entity
Organization
Contact information
Practice address
G5119 W BRISTOL ROAD, SUITE A, FLINT, MI 48507
(810) 720-1510
(810) 720-1726
Mailing address
G5119 W BRISTOL ROAD, SUITE A, FLINT, MI 48507
(810) 720-1510
(810) 720-1726
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary
4301067983
MI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
4215497
—
MI
Enumeration date
04/28/2006
Last updated
05/27/2020
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