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Organization
PRIME GARDEN CITY MEDICAL GROUP
Active
Organization
PRIME GARDEN CITY MEDICAL GROUP
Active
Parent organization
PRIME GARDEN CITY MEDICAL GROUP
Other names
Center for Internal Medicine
Organization subpart
Yes
Provider details
NPI number
Legal business name
PRIME GARDEN CITY MEDICAL GROUP
Authorized official
MR. JOHN F MAGNUSON (PRACTICE ADMINISTRATOR)
(734) 458-4490
Entity
Organization
Contact information
Practice address
6255 INKSTER RD, SUITE 101, GARDEN CITY, MI 48135-2577
(734) 421-4850
(734) 421-6635
Mailing address
6255 INKSTER RD, SUITE 101, GARDEN CITY, MI 48135-2577
(734) 421-4850
(734) 421-6635
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
—
—
Other
Enumeration date
01/24/2008
Last updated
04/12/2017
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