Organization
GENESYS INTEGRATED GROUP PRACTICE PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
PAUL GARSON (CHIEF FIANANCIAL OFFICER)
(810) 424-2136
Entity
Organization
Contact information
Practice address
1096 S BELSAY RD, SUITE C, BURTON, MI 48509-1948
(810) 743-3351
(810) 244-1239
Mailing address
3495 S CENTER RD, BURTON, MI 48519-1455
(810) 424-2007
(810) 743-1099
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
—
MI
207R00000X
Internal Medicine Physician
—
MI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0M23560B
HEALTH ALLIANCE PLAN
MI
01
—
2428253
HEALTHPLUS OF MICHIGAN
MI
01
—
700B551760
BLUE CARE NETWORK
MI
01
—
UC250004
M-CARE PIN
MI
Enumeration date
04/20/2007
Last updated
10/19/2018
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