| Ascension Genesys Hospital | |
|
1460 N Center Rd Burton MI 48509-1429 | |
| (810) 715-4616 | |
| Not Available |
| Full Name | Ascension Genesys Hospital |
|---|---|
| Speciality | Psychologist - Clinical |
| Location | 1460 N Center Rd, Burton, Michigan |
| Authorized Official Name and Position | David Lopez (DIRECTOR, PHYSICIAN SERVICES) |
| Authorized Official Contact | 8106065000 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Ascension Genesys Hospital 1460 N Center Rd Burton MI 48509-1429 Ph: () - | Ascension Genesys Hospital 1460 N Center Rd Burton MI 48509-1429 Ph: (810) 715-4616 |
| NPI Number | 1932368537 |
|---|---|
| Provider Enumeration Date | 06/09/2008 |
| Last Update Date | 06/12/2024 |
| Certification Date | 06/12/2024 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1932368537 | NPI | - | NPPES |
| OP250138 | Other | MI | M CARE |
| 680B512180 | Other | MI | BS |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 103TC0700X | Psychologist - Clinical | (* (Not Available)) | Primary |
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