Organization
GENISE KERNER MD PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. GENISE KERNER MD (PHYSICIAN/MANAGER)
(248) 836-8129
Entity
Organization
Contact information
Practice address
37675 PEMBROOKE AVE, LIVONIA, MI 48152
(734) 779-1000
Mailing address
7969 FARRANT ST, COMMERCE TOWNSHIP, MI 48382-2320
(248) 836-8129
(734) 779-1001
Taxonomy
Speciality
Code
Description
License number
State
261QP2300X
Primary Care Clinic/Center
Primary
4301045002
MI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1376512863
INT MED
MI
Enumeration date
03/14/2018
Last updated
06/16/2018
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