NPI 1104236249 · live from the CMS NPI Registry
Ascension Genesys Hospital
Internal Medicine, Hospice and Palliative Medicine in Grand Blanc, MI. National Provider Identifier 1104236249, active.
NPI record
| NPI | 1104236249 Type 2 · organization |
|---|---|
| Status | Active |
| Primary specialty | Internal Medicine, Hospice and Palliative Medicine 207RH0002X |
| Practice location | 1 Genesys Pkwy, Grand Blanc, MI 48439 |
| Practice phone | 810-606-5000 |
| Mailing address | 5445 Ali Dr, Grand Blanc, MI 48439 |
| Enumerated | April 29, 2014 |
| Last updated | March 11, 2019 |
| Authorized official | Josephine Herman, Director Physician Services |
| Other names | Genesys Palliative Care |
Taxonomies and licenses
| Taxonomy | Code | License |
|---|---|---|
| Nurse Practitioner | 363L00000X | 4707214779 (MI) |
| Internal Medicine, Hospice and Palliative Medicine primary | 207RH0002X | 4707214779 (MI) |
Source: CMS NPPES NPI Registry. NPI data is self-reported by providers; license numbers are not verified by CMS.