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GROUP MEDICAL CLINIC PLLC NPI 1548347206


NPI Information

NPI: 1548347206
Provider Name: GROUP MEDICAL CLINIC PLLC
Classification: Obstetrics & Gynecology - 207V00000X
Entity Type: Organization
Address:
3120 CARPENTER ST
STE 111
HAMTRAMCK, MI
ZIP 48212
Phone: (313) 893-8314
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GROUP MEDICAL CLINIC PLLC is an obstetrics gynecology in Hamtramck, MI. The provider is 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. GROUP MEDICAL CLINIC PLLC NPI is 1548347206. The provider is registered as an organization entity type and is a multi-specialty group.

The provider's business location address is:

3120 CARPENTER ST
STE 111
HAMTRAMCK, MI
ZIP 48212-802
Phone: (313) 893-8314
Fax: (313) 893-7532

The provider's authorized official is Obioma S Agomuoh .
The authorized official title is Owner and has the following contact phone number (313) 893-8314.

The enumeration date for this NPI number is 11/1/2006 and was last updated on 9/26/2008.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1207QA0000XFamily MedicineAdolescent Medicine4301063912MICHIGANNo
2208D00000XGeneral Practice4301063912MICHIGANNo
3207V00000XObstetrics & Gynecology4301063912MICHIGANYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No. Other Provider Identifier Other Provider Identifier Type Other Provider Identifier State Other Provider Identifier Issuer
1F54726MEDICARE UPIN
24301063912OTHERMICHIGANMICHIGAN LIC
34149140 10MEDICAIDMICHIGAN

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 5/5/2024

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