Organization
GENESEE FAMILY CARE PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JOSE B LOPEZ MD (PHYSICIAN)
(810) 715-3049
Entity
Organization
Contact information
Practice address
3020 SOUTH GENESEE RD, BURTON, MI 48519
(810) 715-3049
(810) 744-2850
Mailing address
3020 SOUTH GENESEE RD, BURTON, MI 48519
(810) 715-3049
(810) 744-2850
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
JL047858
MI
207Q00000X
Family Medicine Physician
MO079826
MI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
080B500140
B CR
MI
05
—
2621432
—
MI
Enumeration date
12/18/2006
Last updated
02/09/2010
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