Organization
GENESYS HEALTH ENTERPRISES
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. LARRY D BROTHERS (PRESIDENT)
(810) 762-3662
Entity
Organization
Contact information
Practice address
3909 BEECHER RD, FLINT, MI 48532-3602
(810) 762-3662
Mailing address
3909 BEECHER RD, FLINT, MI 48532-3602
(810) 762-3662
Taxonomy
Speciality
Code
Description
License number
State
208D00000X
General Practice Physician
Primary
—
MI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0373650001
HAP
MI
01
—
0999849
HEALTHPLUS
MI
01
—
470B51484
BCN
MI
01
—
700B514490
BCBS
MI
Enumeration date
05/25/2007
Last updated
06/17/2008
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