Genette Clair Black, CNM | |
5500 Auto Club Dr, Dearborn, MI 48126-2779 | |
(313) 425-4445 | |
Not Available |
Full Name | Genette Clair Black |
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Gender | Female |
Speciality | Advanced Practice Midwife |
Location | 5500 Auto Club Dr, Dearborn, Michigan |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1750082632 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
367A00000X | Advanced Practice Midwife | CNM08305 (Michigan) | Primary |
Entity Name | Henry Ford Health System |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1134144801 PECOS PAC ID: 0547178311 Enrollment ID: O20031105000139 |
Mailing Address | Practice Location Address |
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Genette Clair Black, CNM 1 Ford Pl Ste 3a, Detroit, MI 48202-3450 Ph: (313) 874-4806 | Genette Clair Black, CNM 5500 Auto Club Dr, Dearborn, MI 48126-2779 Ph: (313) 425-4445 |
Mrs. Gisele Marie-anne George, CNM Advanced Practice Midwife Medicare: Not Enrolled in Medicare Practice Location: 18101 Oakwood Blvd, Dearborn, MI 48124 Phone: 313-593-7500 Fax: 313-593-8840 | |
Mrs. Laura Jean Mills, CNM Advanced Practice Midwife Medicare: Accepting Medicare Assignments Practice Location: 18101 Oakwood Blvd, Dearborn, MI 48124 Phone: 313-593-7500 | |
Sheryl Demick, CNM Advanced Practice Midwife Medicare: Medicare Enrolled Practice Location: 18101 Oakwood Blvd, Dearborn, MI 48124 Phone: 313-593-8570 | |
Abigail Channing Southard, MSN, CNM, C-EFM Advanced Practice Midwife Medicare: Not Enrolled in Medicare Practice Location: 18101 Oakwood Blvd, Dearborn, MI 48124 Phone: 313-593-7000 | |
Sarah Debs, CNM Advanced Practice Midwife Medicare: Accepting Medicare Assignments Practice Location: 18101 Oakwood Blvd, Dearborn, MI 48124 Phone: 313-467-3701 | |
Taylor Jane Flynn, CNM Advanced Practice Midwife Medicare: Medicare Enrolled Practice Location: 18101 Oakwood Blvd, Dearborn, MI 48124 Phone: 313-982-5848 | |
Ms. Katherine Marie Klima, CNM Advanced Practice Midwife Medicare: Not Enrolled in Medicare Practice Location: 6450 Maple St, Dearborn, MI 48126 Phone: 313-216-2255 |