Healthcare Provider Details

I. General information

NPI: 1386855286
Provider Name (Legal Business Name): GENESYS REGIONAL MEDICAL CENTER
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 05/24/2007
Last Update Date: 07/21/2022
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

115 E PIERSON RD
FLINT MI
48505-3307
US

IV. Provider business mailing address

PO BOX 2015
FLINT MI
48501-2015
US

V. Phone/Fax

Practice location:
  • Phone: 810-600-2438
  • Fax:
Mailing address:
  • Phone: 810-762-4359
  • Fax: 810-762-4526

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207V00000X
TaxonomyObstetrics & Gynecology Physician
License Number
License Number StateMI

VIII. Authorized Official

Name: DR. RICHARD LABAERE II
Title or Position: DIRECTOR OF MEDICAL EDUCATION
Credential: DO
Phone: 810-232-3522