institution
Glenda M Gensolin Md Pllc
Primary Care Clinic/Center in Niles, Michigan
NPI 1437343373

Glenda M Gensolin Md Pllc is a Primary Care Clinic/Center based in Niles, MI and is specialized in Primary Care. Glenda M Gensolin Md Pllc practices in Niles, MI. The NPI Number for Glenda M Gensolin Md Pllc is 1437343373 and holds a License No. 4301090975 (Michigan).

The current practice location address for Glenda M Gensolin Md Pllc is 24 N Saint Joseph Ave Ste C2, Niles, MI and can be reached out via phone at 269-683-0330 and via fax at 269-684-0400.

Location: 24 N Saint Joseph Ave Ste C2, Niles, MI, 49120-2263
institution
Provider Profile Details
NPI Number
1437343373
Provider Name
Glenda M Gensolin Md Pllc
Credential
Provider Entity Type
Organization
Address
24 N Saint Joseph Ave Ste C2, Niles, MI, 49120-2263
Phone Number
269-683-0330
Fax Number
269-684-0400
Provider Enumeration Date
09/04/2007
Last Update Date
03/09/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
1033195748 01 NPI
institution
Provider Business Practice Location Address Details
Address
24 N Saint Joseph Ave Ste C2
City
State
Zip
49120-2263
Phone Number
269-683-0330
Fax Number
269-684-0400
person
Provider Business Mailing Address Details
Address
24 N Saint Joseph Ave Ste C2
City
State
Zip
49120-2263
Phone Number
269-683-0330
Fax Number
269-684-0400
person
Provider's Taxonomy Details 1
Type
Ambulatory Health Care Facilities
Classification
Clinic/Center
Speciality
Primary Care
Taxonomy
License No.
4301090975 (Michigan)
Definition
Definition to come...
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