Mmg 1PC
Mmg 1PC is a Family Medicine Physician in West Bloomfield, Michigan. Registered with an NPI since 2006.
- In the registry since
- 2006
- Specialties on file
- 2
Practice location Address checks out
7419 Middlebelt Rd Ste 4West Bloomfield, MI 48322-4182
Phone: (248) 855-2291
Fax: (248) 855-4901
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Pin is approximate — placed at the ZIP-code centre, not the exact door.
Specialties & licences
| Family Medicine Physician (primary) | Taxonomy 207Q00000X |
|---|---|
| Cardiovascular Disease Physician | Taxonomy 207RC0000X |
Record details
| NPI number | 1205855186 |
|---|---|
| Entity type | Organization (Type 2) |
| Organization subpart | No |
| Authorized official | Geoffrey Trivax — President · (313) 538-3099 |
| NPI enumerated | July 19, 2006 |
| Last updated in NPPES | September 20, 2018 |
| Mailing address | 29992 Northwestern Hwy Ste C, Farmington Hills, MI 48334-3292 |
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