| Genise Kerner Md Pc | |
|
37675 Pembrooke Ave Livonia MI 48152 | |
| (734) 779-1000 | |
| Not Available |
| Full Name | Genise Kerner Md Pc |
|---|---|
| Speciality | Clinic/Center |
| Location | 37675 Pembrooke Ave, Livonia, Michigan |
| Authorized Official Name and Position | Genise Kerner (PHYSICIAN/MANAGER) |
| Authorized Official Contact | 2488368129 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Genise Kerner Md Pc 7969 Farrant St Commerce Township MI 48382-2320 Ph: (248) 836-8129 | Genise Kerner Md Pc 37675 Pembrooke Ave Livonia MI 48152 Ph: (734) 779-1000 |
| NPI Number | 1972006047 |
|---|---|
| Provider Enumeration Date | 03/14/2018 |
| Last Update Date | 06/16/2018 |
| Medicare PECOS PAC ID | 7719249879 |
|---|---|
| Medicare Enrollment ID | O20180329001981 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1972006047 | NPI | - | NPPES |
| 1376512863 | Other | MI | INT MED |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QP2300X | Clinic/center - Primary Care | 4301045002 (Michigan) | Primary |
| Provider Name | Genise E Kerner |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1376512863 PECOS PAC ID: 2567449994 Enrollment ID: I20040709001371 |
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