Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Mmg 1 PC

Organization Nurse Practitioner · NPI 1023037025

Mmg 1 PC is a Nurse Practitioner in Southfield, Michigan. Registered with an NPI since 2006.

In the registry since
2006
What do these letters mean?
PC — Professional corporation
A form of business registration, not a clinical qualification.

See every abbreviation used in this directory →

Practice location Address checks out

28625 Northwestern Hwy Ste 213
Southfield, MI 48034-1828
Phone: (248) 354-9666
Fax: (248) 354-3653
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Nurse Practitioner (primary) Taxonomy 363L00000X

Record details

NPI number1023037025
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Geoffrey Trivax — President · (313) 538-3099
NPI enumeratedJuly 19, 2006
Last updated in NPPESMay 24, 2021
Certification dateMay 24, 2021
Mailing address29992 Northwestern Hwy Ste C, Farmington Hills, MI 48334-3292

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