Organization
GENESYS PRACTICE PARTNERS, INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JOANNE HERMAN RN (PHYSICIAN SERVICES)
(810) 606-6364
Entity
Organization
Contact information
Practice address
8435 HOLLY RD, GRAND BLANC, MI 48439-1812
(810) 424-2400
(810) 579-7222
Mailing address
8435 HOLLY RD, GRAND BLANC, MI 48439-1812
(810) 424-2400
(810) 579-7222
Taxonomy
Speciality
Code
Description
License number
State
261QM0850X
Adult Mental Health Clinic/Center
Primary
—
—
261QM0855X
Adolescent and Children Mental Health Clinic/Center
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
750913607
BCBSM GROUP NUMBER
MI
Enumeration date
07/31/2006
Last updated
02/08/2010
Update your record
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