MEDICARE: FLINT GASTROENTEROLOGY ASSOCIATES PC

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	207ZP0102X	Anatomic Pathology & Clinical Pathology Physician
2	207RG0100X	Gastroenterology Physician

General Provider Information

NPI Number	:	1982658456
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	FLINT GASTROENTEROLOGY ASSOCIATES PC

Provider Business Mailing Address
First Line	:	3495 S CENTER RD
Second Line	:
City	:	BURTON
State	:	MI
Zip	:	48519-1455
Country	:	US
Telephone Number	:
Fax Number	:

Provider Business Practice Location Address
First Line	:	8275 HOLLY RD STE 2
Second Line	:
City	:	GRAND BLANC
State	:	MI
Zip	:	48439-2442
Country	:	US
Telephone Number	:	810-603-8400
Fax Number	:	810-603-8410

Authorized Official
Title or Position	:	PRESIDENT
Name	:	DEREK KORTE
Credential	:	D.O.
Telephone Number	:	810-603-8400

Provider Enumeration Date	:	05/20/2006
Last Update Date	:	02/05/2026

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