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1982165619
GENESIS MD, PLLC
DEARBORN HEIGHTS, MI
NPI
1982165619
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Entity Type
Organization
Authorized Contact
EDRICK FERGUSON
Owner
313-581-3255
Organization Subpart ?
No
Primary Taxonomy
208VP0014X Pain Medicine, Interventional Pain Medicine
Enumeration Date
2019-03-26
Last Update Date
2019-05-15
Business Address
GENESIS MD, PLLC
8560 N SILVERY LN STE 101
DEARBORN HEIGHTS, MI 48127-4516
Phone number: 313-581-3255
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Mailing Address
GENESIS MD, PLLC
8560 N SILVERY LN STE 202
DEARBORN HEIGHTS, MI 48127-4515
Phone number: 313-581-3255
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