| Mmg 1 Pc | |
|
5821 W Maple Rd Suite 190 West Bloomfield MI 48322-2275 | |
| (248) 855-0407 | |
| (248) 855-1323 |
| Full Name | Mmg 1 Pc |
|---|---|
| Speciality | Internal Medicine |
| Location | 5821 W Maple Rd, West Bloomfield, Michigan |
| Authorized Official Name and Position | Geoffrey A Trivax (PRESIDENT) |
| Authorized Official Contact | 3135383099 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Mmg 1 Pc 29992 Northwestern Hwy Ste C Farmington Hills MI 48334-3292 Ph: (248) 851-1430 | Mmg 1 Pc 5821 W Maple Rd Suite 190 West Bloomfield MI 48322-2275 Ph: (248) 855-0407 |
| NPI Number | 1023043486 |
|---|---|
| Provider Enumeration Date | 07/12/2006 |
| Last Update Date | 05/24/2021 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1023043486 | NPI | - | NPPES |
| 110F375900 | Other | MI | BLUE SHIELD GROUP |
| CG6179 | Other | MI | MEDICARE ID TYPE UNSPECIFIED |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207R00000X | Internal Medicine | (* (Not Available)) | Primary |
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