# PRIME GARDEN CITY MEDICAL GROUP

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- **Entity:** Organization
- **Status:** Active
- **Parent organization:** PRIME GARDEN CITY MEDICAL GROUP
- **Other names:** Center for Women's Health
- **Organization subpart:** Yes

## Provider details

- **NPI number:** 1437371739
- **Legal business name:** PRIME GARDEN CITY MEDICAL GROUP
- **Authorized official:** MR. JOHN F. MAGNUSON (PRACTICE ADMINISTRATOR)
- **Authorized official phone:** (734) 458-4490

## Contact information

- **Practice address:** 6255 INKSTER ROAD, SUITE 203, GARDEN CITY, MI 48135
- **Practice address phone:** (734) 458-3288
- **Practice address fax:** (734) 458-3286
- **Mailing address:** 6255 INKSTER ROAD, SUITE 203, GARDEN CITY, MI 48135
- **Mailing address phone:** (734) 458-3288
- **Mailing address fax:** (734) 458-3286

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 207V00000X | Obstetrics & Gynecology Physician | — | NULL | Yes |
| 207V00000X | Obstetrics & Gynecology Physician | — | — | Yes |

## Other

- **Enumeration date:** 05/03/2007
- **Last updated:** 04/12/2017