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) 743-1099
Mailing address
8435 HOLLY RD, GRAND BLANC, MI 48439-1812
(810) 424-2400
(810) 579-7222
Taxonomy
Speciality
Code
Description
License number
State
2084P0800X
Psychiatry Physician
Primary
—
—
2084P0804X
Child & Adolescent Psychiatry Physician
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
7509106070
BCBSM GROUP NUMBER
MA
Enumeration date
07/22/2006
Last updated
02/08/2010
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