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Contact Information

GENESEE PEDIATRICS PC
G5119 W BRISTOL ROAD
SUITE A
FLINT, MI48507
 Phone: 810-720-1510
 Fax: 810-720-1726
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Pediatrics

208000000X 37 Physician/Pediatric Medicine
Indicates primary specialty

NPI Profile & details for GENESEE PEDIATRICS PC · (Female)

NPI Number 1447217732
Status Active
Credentials
Entity Individual
Enumeration date 04/28/2006
Last updated 05/27/2020 - About 6 years ago
Sole proprietor 1 Not specified
Identifiers
  • MI License # 4301067983
  • MI Medicaid 4215497
Hospital affiliation(s) Not Available
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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