Organization
IMG CLINIC PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
PHILIP G CONRARDY MD (MEDICAL DIRECTOR)
(414) 491-6979
Entity
Organization
Contact information
Practice address
206 BURWASH AVE, SAVOY, IL 61874-9510
(313) 314-0617
Mailing address
610 W 11TH ST, TRAVERSE CITY, MI 49684-3150
(313) 314-0617
Taxonomy
Speciality
Code
Description
License number
State
207LP2900X
Pain Medicine (Anesthesiology) Physician
Primary
—
—
Other
Enumeration date
02/17/2022
Last updated
02/17/2022
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