Img Clinic Pllc

NPI #1962160218 in Fruitport, Michigan

Provider Information

NPI Number: 1962160218
Entity Type: Organization
Organization Name: Img Clinic Pllc
Primary Specialty: Internal Medicine
Enumeration Date: Dec 3, 2021
Last Updated: Dec 5, 2021

Practice Location

Address: 3427 FARR RD STE B
City: Fruitport
State: Michigan
ZIP Code: 49415-8854
Phone: (231) 865-7625

Authorized Official

Name: NAZER ABDEL-FATTAH, DO
Title: MEDICAL DIRECTOR
Phone: (313) 522-0505

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Internal Medicine	207R00000X	Primary

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