Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of October 4, 2026.

Genesys Regional Medical Center

Organization Pediatrics Physician · NPI 1306963053

Genesys Regional Medical Center provides Pediatrics Physician services in Grand Blanc, Michigan. Licensed in Michigan. Registered with an NPI since 2007.

Licensed in
MI
In the registry since
2007
Specialties on file
2

Practice location Address checks out

4642 Genesys Pkwy
Grand Blanc, MI 48439-8067
Phone: (810) 606-5830
Fax: (810) 606-5639
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Pediatric Cardiology Physician (primary) Taxonomy 2080P0202X (MI)
Pediatrics Physician Taxonomy 208000000X

Record details

NPI number1306963053
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Richard Labaere Do — Medical Education Director · (810) 715-4300
NPI enumeratedMarch 26, 2007
Last updated in NPPESJuly 21, 2022
Mailing addressPo Box 2015, Flint, MI 48501-2015

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