# PRIME GARDEN CITY MEDICAL GROUP

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- **Entity:** Organization
- **Status:** Active
- **Parent organization:** PRIME GARDEN CITY MEDICAL GROUP
- **Organization subpart:** Yes

## Provider details

- **NPI number:** 1538380621
- **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:** 30730 FORD RD, GARDEN CITY, MI 48135-1803
- **Practice address phone:** (734) 266-8800
- **Practice address fax:** (734) 266-9290
- **Mailing address:** 8040 N MIDDLEBELT RD, WESTLAND, MI 48185-1808
- **Mailing address phone:** (734) 266-8800
- **Mailing address fax:** (734) 266-9290

## Taxonomy

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

## Other

- **Enumeration date:** 05/02/2007
- **Last updated:** 02/07/2018