Mmg 1Pc is a Internal Medicine in Farmington Hills, Michigan. Mmg 1Pc practices all healthcare services and medical treatments related to Internal Medicine. The NPI Number for Mmg 1Pc is 1154356517. The last update date is 2018-09-20.
Mmg 1Pc's current location address is 29992 Northwestern Hwy Ste C, Farmington Hills, Michigan. You can contact this provider via phone number 2488511430 and fax number 2488515182. The mailing address for Mmg 1Pc is 29992 Northwestern Hwy Ste C, Farmington Hills, Michigan. To know further, please read the information below!
Provider Profile Detail
| Provider Organization | Mmg 1Pc |
|---|---|
| Address | 29992 Northwestern Hwy Ste C, Farmington Hills, Michigan |
| Phone Number | 2488511430 |
| Fax Number | 2488515182 |
| Sole Proprietor | -- |
| Credentials | -- |
Authorized Official
| Title or Position | PRESIDENT |
|---|---|
| Authorized Official Name | Trivax A Geoffrey |
| Credentials | MD |
| Telephone Number | 3135383099 |
NPI Number Detail
| NPI Number | 1154356517 |
|---|---|
| Provider Enumeration Date | 2006-07-12 |
| Last Updated Date | 2018-09-20 |
Provider Mailing Address Detail
| Address | 29992 Northwestern Hwy Ste C |
|---|---|
| City | Farmington Hills |
| State | Michigan (MI) |
| Post Code | 483343292 |
| Phone Number | 2488511430 |
| Fax Number | 2488515182 |
Provider's Primary Taxonomy Detail
| Speciality | Internal Medicine |
|---|---|
| Taxonomy | 207R00000X |
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Definition: A physician who provides long-term, comprehensive care in the office and the hospital, managing both common and complex illness of adolescents, adults and the elderly. Internists are trained in the diagnosis and treatment of cancer, infections and di |
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Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| 110F300670 | MI | BLUE SHIELD GROUP |
Post Comment/ Review Below
What is the Mmg 1Pc's unique identification number?
The Mmg 1Pc has been assigned the NPI (National Provider Identifier) Number 1154356517 by the Centers for Medicare & Medicaid Services (CMS). This 10-digit code serves as a unique identifier for the organization.
Could you please provide the complete street address where Mmg 1Pc is physically located?
The Mmg 1Pc is physically situated at the following address: 29992 Northwestern Hwy Ste C, Farmington Hills, MI, 483343292.
What is Mmg 1Pc's specialized field of practice, and what is the corresponding taxonomy code that categorizes this area of expertise?
The area of specialization for Mmg 1Pc is Internal Medicine, and the taxonomy code that classifies this field of practice is 207R00000X.
When did Mmg 1Pc receive its 1154356517 assignment?
The Mmg 1Pc was assigned its 1154356517 on 2006-07-12, which is the date when this unique identifier was issued to the organization.
When was the Mmg 1Pc's information last updated?
The Mmg 1Pc's information was last updated on 2018-09-20.