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General NPI Number Information
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NPI Number | 1982658456
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Entity Type | Organization
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Legal Business Name | FLINT GASTROENTEROLOGY ASSOCIATES PC
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Dates
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Enumeration Date | 05/20/2006
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Last Update Date | 04/25/2025
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Provider Practice Location Address
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Address Line | 8275 HOLLY RD STE 2
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City | GRAND BLANC
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State | MI
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Zip | 48439-2442
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Country | US
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Telephone | 810-603-8400
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Fax | 810-603-8410
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Provider Business Mailing Address
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Address Line | 3495 S CENTER RD
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City | BURTON
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State | MI
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Zip | 48519-1455
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Country | US
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Telephone |
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Fax | 810-743-1099
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Authorized Official
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Title or Position | PRESIDENT
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Name | DEREK KORTE
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Credential | D.O.
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Telephone | 810-603-8400
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 207RG0100X
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Taxonomy Name | Gastroenterology Physician
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License Number |
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License Number State |
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