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 1215103940. 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 | 2488511430 |
NPI Number Detail
| NPI Number | 1215103940 |
|---|---|
| Provider Enumeration Date | 2008-05-02 |
| 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 |
|---|---|---|---|
| 700F322430 | MI | BLUE CARE NETWORK | |
| 700F322430 | MI | BLUE SHIELD |
Post Comment/ Review Below
What is the unique 10-digit identification code assigned to Mmg 1Pc by the Centers for Medicare & Medicaid Services?
The Mmg 1Pc has been issued the NPI (National Provider Identifier) 1215103940, which serves as a unique identifier for healthcare providers, assigned by the Centers for Medicare & Medicaid Services (CMS).
Could you provide the complete physical address where Mmg 1Pc is located?
The Mmg 1Pc is situated at the following address: 29992 Northwestern Hwy Ste C, Farmington Hills, MI, 483343292.
What is Mmg 1Pc's specialized area of practice, and what is the corresponding taxonomy classification code for this field?
The Mmg 1Pc's specialized field of practice is Internal Medicine, and the corresponding taxonomy code that categorizes this area of specialization is 207R00000X.
When was the Mmg 1Pc's 1215103940 issued?
The Mmg 1Pc's 1215103940 was issued on 2008-05-02.
As of what date were the details pertaining to Mmg 1Pc last refreshed?
The information related to the Mmg 1Pc, including its address, specialty, and other relevant details, was last updated on 2018-09-20.
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