Organization
GENESYS
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MARISSA ROGERS D.O. (PROGRAM DIRECTOR)
(810) 606-5126
Entity
Organization
Contact information
Practice address
1 GENESYS PKWY, GRAND BLANC, MI 48439-8065
(810) 606-5126
Mailing address
1 GENESYS PKWY, GRAND BLANC, MI 48439-8065
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
4301110675
MI
Other
Enumeration date
07/28/2016
Last updated
07/28/2016
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