Primary Care Clinic of Jackson, P.c.

NPI #1821278193 in Portage, Michigan

Provider Information

NPI Number: 1821278193
Entity Type: Organization
Organization Name: Primary Care Clinic of Jackson, P.c.
Primary Specialty: Internal Medicine
Enumeration Date: Nov 5, 2007
Last Updated: Jul 20, 2009

Practice Location

Address: 2218 SUGARLOAF AVE
City: Portage
State: Michigan
ZIP Code: 49024-6771
Phone: (269) 327-9700

Authorized Official

Name: DR. TAHIR A ALVI, M.D.
Title: PRESIDENT
Phone: (269) 327-9700

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Internal Medicine	207R00000X	Primary

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