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 1215040506. 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 | M.D. |
| Telephone Number | 2483549666 |
NPI Number Detail
| NPI Number | 1215040506 |
|---|---|
| Provider Enumeration Date | 2006-08-17 |
| 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 |
|
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 |
|
Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| 110F375070 | MI | BLUE SHIELD |
Post Comment/ Review Below
What is the unique provider identifier assigned to Mmg 1Pc?
The Mmg 1Pc has been issued the NPI (National Provider Identifier) 1215040506 by the Centers for Medicare & Medicaid Services (CMS). This 10-digit code is a unique identification number for healthcare providers.
Could you kindly provide the complete physical address where Mmg 1Pc's facilities are geographically located?
The facilities of Mmg 1Pc are physically situated at the following location: 29992 Northwestern Hwy Ste C, Farmington Hills, MI, 483343292.
What is Mmg 1Pc's area of specialization, and what is the corresponding taxonomy classification code for this field of practice?
The specialized area of practice for Mmg 1Pc is Internal Medicine, and the taxonomy code that categorizes this field of expertise is 207R00000X.
On what date did the Mmg 1Pc receive its 1215040506 assignment from the Centers for Medicare & Medicaid Services?
The Mmg 1Pc was assigned its 1215040506 by the Centers for Medicare & Medicaid Services on 2006-08-17.
As of what date were the details related to Mmg 1Pc most recently updated or revised?
The information pertaining to Mmg 1Pc, including its address, specialty, and other relevant details, was last updated or revised on 2018-09-20.