GENESIS PAIN MANAGEMENT
Anesthesiologist Assistant at Townsend Dr, Grand Ledge, MI

License number
Michigan 2301009814
Category
Chiropractic
Type
Rehabilitation
Owner
Name: MS. BLANCHE R ROSENBLATT
Title: PRESIDENT
Phone: (561) 901-3098
Address
Address
12947 Townsend Dr #412, Grand Ledge, MI 48837
National Provider ID: 1649550906
LicenseFiles verified this license of Nov 7, 2017 at the National Plan and Provider Enumeration System.

Organization information

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GENESIS PAIN MANAGEMENT

Grand Ledge, MI  -  Boca Raton, FL

Status:
Inactive
Industry:
Management Services
Registration:
Jun 13, 2011
Inactive since:
Aug 10, 2012
Addresses:
12947 Townsend Dr UNIT 412, Grand Ledge, MI 48837 (Physical)
7926 Tennyson Ct, Boca Raton, FL 33433
State ID:
2011-000602764
Business type:
Profit Corporation - Domestic
Entity State:
WY
Expiration:
Perpetual
Principal:
Blanche R. Rosenblatt Principal, inactive

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