Healthcare Provider Details

I. General information

NPI: 1124985403
Provider Name (Legal Business Name): GENERATIONS HEALTH PLLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 01/07/2026
Last Update Date: 01/07/2026
Certification Date: 01/07/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

212 COURT ST S
STANDISH MI
48658-9415
US

IV. Provider business mailing address

212 COURT ST S
STANDISH MI
48658-9415
US

V. Phone/Fax

Practice location:
  • Phone: 989-394-7118
  • Fax: 989-394-7228
Mailing address:
  • Phone: 989-394-7118
  • Fax: 989-394-7228

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code261QP2300X
TaxonomyPrimary Care Clinic/Center
License Number
License Number State

VIII. Authorized Official

Name: BRODI KATELYN LYNCH
Title or Position: OWNER
Credential:
Phone: 989-737-0769