Organization
PRIME GARDEN CITY MEDICAL GROUP
Active
Parent organization
PRIME GARDEN CITY MEDICAL GROUP
Other names
Center for Women's Health
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
6221 N TELEGRAPH RD, DEARBORN HEIGHTS, MI 48127-3222
(313) 561-2200
(313) 561-2211
Mailing address
6221 N TELEGRAPH RD, DEARBORN HEIGHTS, MI 48127-3222
(313) 561-2200
(313) 561-2211
Taxonomy
Speciality
Code
Description
License number
State
207V00000X
Obstetrics & Gynecology Physician
Primary
—
—
Other
Enumeration date
01/11/2013
Last updated
04/12/2017
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