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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
Internal Medicine Continuity Clinic
Organization subpart
Yes
Provider details
NPI number
Legal business name
PRIME GARDEN CITY MEDICAL GROUP
Authorized official
MANZUR MUSTAFA (DIRECTOR)
(734) 434-5464
Entity
Organization
Contact information
Practice address
6255 INKSTER RD STE 302, GARDEN CITY, MI 48135-2538
(734) 458-3330
Mailing address
6255 INKSTER RD STE 302, GARDEN CITY, MI 48135-2538
(734) 458-3330
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
—
—
Other
Enumeration date
10/14/2019
Last updated
10/14/2019
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