Group Medical Clinic Pllc, NPI 1548347206
Obstetrics & Gynecology Physician in Hamtramck, MI, US

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NPI number: what is it?

The NPI, or National Provider Identifier, is a non-repeatable number for health care providers. The NPI always consists of 10 digits and is used for administrative and financial procedures. The NPI wa...

NPI 1548347206
NPI Entity Type Organization
Provider Name Group Medical Clinic Pllc
Enumeration Date September 30, 2009
Last Update Date September 30, 2009
Provider Location Address 3120 Carpenter St, Ste 111, Hamtramck, MI, US
Provider Mailing Address 27900 Berkshire Dr, Southfield, MI, US, 480764957
Is Sole Proprietor? No
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Organization Official

Official Name DR. M.D. Obioma S Agomuoh
Official Position OWNER
Phone 313-893-8314

Group Taxonomy

Taxonomy Code 193200000X
Taxonomy Name 193200000X MULTI-SPECIALTY GROUP
Definition A business group of one or more individual practitioners, who practice with different areas of specialization.

Primary Taxonomy

Taxonomy Code

207V00000X

Taxonomy Name Obstetrics & Gynecology Physician
Classification

Obstetrics & Gynecology

Group

Allopathic & Osteopathic Physicians

License No. 4301063912
License State MI
Description 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.

Business Address

Group Medical Clinic Pllc
3120 Carpenter St
Ste 111

Hamtramck, MI, US

Phone: 313-893-8314
Fax: 313-893-7532

Mailing Address

Group Medical Clinic Pllc
27900 Berkshire Dr
Southfield, MI, US
ZIP 480764957
Phone: 313-893-8314
Fax: 313-893-7532

Secondary Taxonomies

Taxonomy Code Group Classification License No. State Primary?

207QA0000X

Allopathic & Osteopathic Physicians

Family Medicine

4301063912 MI No

208D00000X

Allopathic & Osteopathic Physicians

General Practice

4301063912 MI No

Other Identifiers

Identifier Identifier State Identifier Issuer Type/Code
4301063912 MI MICHIGAN LIC 01
4149140 10 MI MEDICAID 05

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