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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
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
30730 FORD RD, GARDEN CITY, MI 48135-1803
(734) 266-8800
(734) 266-9290
Mailing address
8040 N MIDDLEBELT RD, WESTLAND, MI 48185-1808
(734) 266-8800
(734) 266-9290
Taxonomy
Speciality
Code
Description
License number
State
207V00000X
Obstetrics & Gynecology Physician
Primary
—
NULL
207V00000X
Obstetrics & Gynecology Physician
Primary
—
—
Other
Enumeration date
05/02/2007
Last updated
02/07/2018
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