Prime Garden City Medical Group
NPI #1104163013 in Dearborn Heights, Michigan
Provider Information
- NPI Number
- 1104163013
- 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
- Obstetrics & Gynecology
- Enumeration Date
- Jan 11, 2013
- Last Updated
- Apr 12, 2017
Practice Location
- Address
- 6221 N TELEGRAPH RD
- City
- Dearborn Heights
- State
- Michigan
- ZIP Code
- 48127-3222
- Phone
- (313) 561-2200
Authorized Official
- Name
- MR. JOHN F MAGNUSON
- Title
- PRACTICE ADMINISTRATOR
- Phone
- (734) 458-4490
Specialties & Taxonomy Codes
| Specialty |
|---|
| Obstetrics & Gynecology |
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