Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Genesys Regional Medical Center

Organization Pediatric Neurodevelopmental Disabilities Physician · NPI 1710104187

Genesys Regional Medical Center is a Pediatric Neurodevelopmental Disabilities Physician in Grand Blanc, Michigan. Licensed in Michigan. Registered with an NPI since 2007.

Licensed in
MI
In the registry since
2007

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 Neurodevelopmental Disabilities Physician (primary) Taxonomy 2080P0008X (MI)

Record details

NPI number1710104187
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Richard Labaere Do — Medical Education Director · (810) 715-4300
NPI enumeratedApril 19, 2007
Last updated in NPPESJuly 21, 2022
Mailing addressPo Box 2015, Flint, MI 48501-2015