Organization · Type 2 NPI

Prime Garden City Medical Group

Obstetrics & Gynecology Physician · Dearborn Heights, MI

NPI number 1104163013 Active

Practice location

6221 N Telegraph Rd
Dearborn Heights, MI 48127-3222

Fax (313) 561-2211

Specialties and licenses

Taxonomy	Code	License
Obstetrics & Gynecology Physician Primary	207V00000X	None listed

Obstetrics & Gynecology Physician: An obstetrician/gynecologist possesses special knowledge, skills and professional capability in the medical and surgical care of the female reproductive system and associated disorders. This physician serves as a consultant to other physicians and as a primary physician for women.

4 other providers at this address

Other obstetrics & gynecology physician providers in Dearborn Heights

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NPI record

NPI: 1104163013
Entity type: Organization (Type 2)
Issued: Jan 11, 2013
Last updated: Apr 12, 2017
Status: Active
Subpart: Yes of Prime Garden City Medical Group

Other names

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Center for Women's Health · doing business as

Authorized official

Mr. John F Magnuson
Practice Administrator
(734) 458-4490

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This page mirrors the public NPPES file. For credentialing or billing, confirm it on the official CMS NPI Registry, and check the license with the state board.

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About NPI 1104163013

Prime Garden City Medical Group's National Provider Identifier is 1104163013, issued on Jan 11, 2013. The primary taxonomy on file is Obstetrics & Gynecology Physician (207V00000X), and the practice location is in Dearborn Heights, MI. The record was last updated on Apr 12, 2017.