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Organization
IMG CLINIC PLLC
Active
Organization
IMG CLINIC PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
NAZER ABDEL-FATTAH DO (MEDICAL DIRECTOR)
(313) 522-0505
Entity
Organization
Contact information
Practice address
3427 FARR RD STE B, FRUITPORT, MI 49415-8854
(231) 865-7625
Mailing address
610 W 11TH ST, TRAVERSE CITY, MI 49684-3150
(313) 314-0617
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
—
NULL
207R00000X
Internal Medicine Physician
Primary
—
—
Other
Enumeration date
12/03/2021
Last updated
12/05/2021
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