Search › Michigan › 103TC0700X
Anthony Gensterblum, PHD
NPI 1619255635 · on the registry since 2011 · sole proprietor
Practice
- Address
- 505 Wildwood Ave
Jackson, MI 49201 - Phone
- (517) 783-4418
- Fax
- (517) 783-4504
- Clinicians at this address
- 6
Registry record
- Primary taxonomy
- 103TC0700X
103TC0700X
- Also registered as
- 1041C0700X
- Licence states on file
- MI
From the registry's licence fields, which are often incomplete.
- Sex
- Male
- Record last updated
- 2011-07-25
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