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Contact Information

PRIME MEDICAL GROUP PC
4455 TOWN CENTER PKWY
SUITE A
FLINT, MI48532-3425
 Phone: 810-720-3370
 Fax: 810-720-3367
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Cardiovascular Disease

207RC0000X 11 Physician/Internal Medicine
 

Cardiac Rehabilitation

163WC3500X
 

Interventional Cardiology

207RI0011X 11 Physician/Internal Medicine
 

Nurse Practitioner

363L00000X 50 Nurse Practitioner
 

Sleep Medicine

2084S0012X 86 Physician/Neuropsychiatry
 

Vascular Surgery

2086S0129X 76 Physician/Peripheral Vascular Disease
Indicates primary specialty

NPI Profile & details for PRIME MEDICAL GROUP PC · (Female)

NPI Number 1861615452
Status Active
Credentials
Entity Individual
Enumeration date 04/11/2007
Last updated 01/30/2026 - About 4 months ago
Sole proprietor 1 Not specified
Identifiers
  • MI License # 4301062994
  • MI License # 4301075121
  • MI License # 4301085958
  • MI License # 4704216332
  • MI License # 5101016443
  • MI Medicaid 4618140
Hospital affiliation(s) Not Available
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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