Prime Garden City Medical Group

NPI #1033505110 in Fort Gratiot, Michigan

Provider Information

NPI Number: 1033505110
Entity Type: Organization
Organization Name: Prime Garden City Medical Group
Subpart: Yes (part of a larger organization)
Parent Organization: PRIME GARDEN CITY MEDICAL GROUP
Primary Specialty: Internal Medicine
Enumeration Date: Apr 15, 2015
Last Updated: Apr 15, 2015

Practice Location

Address: 4190 24TH AVE
Address 2: SUITE 206
City: Fort Gratiot
State: Michigan
ZIP Code: 48059-3882
Phone: (810) 216-4000

Authorized Official

Name: MRS. DARLA SUE PARSONS
Title: EXECUTIVE DIRECTOR
Phone: (734) 458-4490

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Internal Medicine	207R00000X	Primary

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