Organization
GENESIS PAIN MANAGEMENT
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MS. BLANCHE R ROSENBLATT (PRESIDENT)
(561) 901-3098
Entity
Organization
Contact information
Practice address
12947 TOWNSEND DR, #412, GRAND LEDGE, MI 48837-8727
(561) 901-3098
Mailing address
12947 TOWNSEND DR, #412, GRAND LEDGE, MI 48837-8727
(561) 901-3098
(517) 708-2002
Taxonomy
Speciality
Code
Description
License number
State
111NR0400X
Rehabilitation Chiropractor
Primary
2301009814
MI
Other
Enumeration date
08/18/2011
Last updated
08/18/2011
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