Glenda Gensolin, MD

NPI 1033195748 · on the registry since 2005 · sole proprietor

Practice

Address: 24 N Saint Joseph Ave Ste C2
Niles, MI 49120
Phone: (269) 683-0330
Fax: (269) 684-0400
Organisation at this address: Midwest Wellness Llc
Paul V Detrisac Md Pc
Douglas Tacket Do Pllc
Tracy J Tacket Do Pllc
Mike Flewelling Dds Plc
Inferred from a shared address, not stated in the registry.
Clinicians at this address: 16

Registry record

Primary taxonomy: 207Q00000X
207Q00000X
Also registered as: 207Q00000X
Licence states on file: OH, MI
From the registry's licence fields, which are often incomplete.
Sex: Female
Record last updated: 2014-03-10

Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Michigan