Organization
PRIME GARDEN CITY MEDICAL GROUP
Active
Parent organization
PRIME GARDEN CITY MEDICAL GROUP
Other names
Center for Sports and Family Medicine
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
35600 CENTRAL CITY PKWY, SUITE 104, WESTLAND, MI 48185-2046
(734) 261-3778
(734) 524-0981
Mailing address
35600 CENTRAL CITY PKWY, SUITE 104, WESTLAND, MI 48185-2046
(734) 261-3778
(734) 524-0981
Taxonomy
Speciality
Code
Description
License number
State
207QS0010X
Sports Medicine (Family Medicine) Physician
Primary
—
—
Other
Enumeration date
09/25/2008
Last updated
04/12/2017
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