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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

Other

Enumeration date
12/03/2021
Last updated
12/05/2021
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