| Img Clinic PLLC | |
|
3427 Farr Rd Ste B Fruitport MI 49415-8854 | |
| (231) 865-7625 | |
| Not Available |
| Full Name | Img Clinic PLLC |
|---|---|
| Speciality | Internal Medicine |
| Location | 3427 Farr Rd Ste B, Fruitport, Michigan |
| Authorized Official Name and Position | Nazer Abdel-fattah (MEDICAL DIRECTOR) |
| Authorized Official Contact | 3135220505 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Img Clinic PLLC 610 W 11th St Traverse City MI 49684-3150 Ph: (313) 314-0617 | Img Clinic PLLC 3427 Farr Rd Ste B Fruitport MI 49415-8854 Ph: (231) 865-7625 |
| NPI Number | 1962160218 |
|---|---|
| Provider Enumeration Date | 12/03/2021 |
| Last Update Date | 12/05/2021 |
| Certification Date | 12/05/2021 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1962160218 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207R00000X | Internal Medicine | (NU) | Primary |
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