Organization
GENESIS MEDICAL LASER CENTER, LLC
Active
Other names
Genesis Medical Laser CTR
Organization subpart
No
Provider details
NPI number
Authorized official
MR. DAVID STEMM CLT (MANAGING PARTNER)
(270) 842-6096
Entity
Organization
Contact information
Practice address
1711 DESTINY LN, SUITE 107, BOWLING GREEN, KY 42104-1066
(270) 842-6096
(270) 842-6097
Mailing address
1711 DESTINY LN, SUITE 107, BOWLING GREEN, KY 42104-1066
(270) 842-6096
(270) 842-6097
Taxonomy
Speciality
Code
Description
License number
State
261QP3300X
Pain Clinic/Center
Primary
—
—
Other
Enumeration date
08/27/2008
Last updated
08/27/2008
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