Provider Demographics
NPI:1376742858
Name:SIERMINSKI, GENEVIEVE A (MD)
Entity Type:Individual
Prefix:
First Name:GENEVIEVE
Middle Name:A
Last Name:SIERMINSKI
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
Other - First Name:GENEVIEVE
Other - Middle Name:M
Other - Last Name:ALUMIT
Other - Suffix:
Other - Last Name Type:Other Name
Other - Credentials:MD
Mailing Address - Street 1:G1071 N BALLENGER HWY
Mailing Address - Street 2:SUITE 310
Mailing Address - City:FLINT
Mailing Address - State:MI
Mailing Address - Zip Code:48504-4453
Mailing Address - Country:US
Mailing Address - Phone:810-238-4172
Mailing Address - Fax:810-238-4153
Practice Address - Street 1:G1071 N BALLENGER HWY
Practice Address - Street 2:SUITE 310
Practice Address - City:FLINT
Practice Address - State:MI
Practice Address - Zip Code:48504-4453
Practice Address - Country:US
Practice Address - Phone:810-238-4172
Practice Address - Fax:810-238-4153
Is Sole Proprietor?:No
Enumeration Date:2007-07-13
Last Update Date:2012-02-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MI4301085687207RN0300X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207RN0300XAllopathic & Osteopathic PhysiciansInternal MedicineNephrology