Mmg 1PC
Mmg 1PC is an Internal Medicine Physician in Southfield, Michigan. Registered with an NPI since 2006.
- In the registry since
- 2006
Practice location Address checks out
28625 Northwestern Hwy Ste 100Southfield, MI 48034-8351
Phone: (248) 354-0730
Fax: (248) 354-1652
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Pin is approximate — placed at the ZIP-code centre, not the exact door.
Specialties & licences
| Internal Medicine Physician (primary) | Taxonomy 207R00000X |
|---|
Record details
| NPI number | 1215040506 |
|---|---|
| Entity type | Organization (Type 2) |
| Organization subpart | No |
| Authorized official | Geoffrey Trivax — President · (248) 354-9666 |
| NPI enumerated | August 17, 2006 |
| Last updated in NPPES | September 20, 2018 |
| Mailing address | 29992 Northwestern Hwy Ste C, Farmington Hills, MI 48334-3292 |
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