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 1225063688. The last update date is 2018-09-20.
Mmg 1Pc's current location address is 29992 Northwestern Hwy, 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, Farmington Hills, Michigan. To know further, please read the information below!
Provider Profile Detail
| Provider Organization | Mmg 1Pc |
|---|---|
| Address | 29992 Northwestern Hwy, 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 | 1225063688 |
|---|---|
| Provider Enumeration Date | 2006-07-12 |
| Last Updated Date | 2018-09-20 |
Provider Mailing Address Detail
| Address | 29992 Northwestern Hwy |
|---|---|
| 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 |
|---|---|---|---|
| CG6180 | MI | MEDICARE ID TYPE UNSPECIFIED | |
| 110F301040 | MI | BLUE SHIELD GROUP |
Post Comment/ Review Below
What is the unique identifier code issued to Mmg 1Pc by the Centers for Medicare & Medicaid Services (CMS)?
The Mmg 1Pc has been assigned the NPI (National Provider Identifier) 1225063688. This 10-digit code serves as a unique identification number for healthcare providers, issued by the CMS.
Could you please share the complete physical address where Mmg 1Pc is geographically located?
The Mmg 1Pc is physically situated at the following location: 29992 Northwestern Hwy, Farmington Hills, MI, 483343292.
What is Mmg 1Pc's specialized field of practice, and what is the corresponding taxonomy classification code?
The Mmg 1Pc's area of specialization is Internal Medicine, and the corresponding taxonomy code that categorizes this field of practice is 207R00000X.
On what date did the Centers for Medicare & Medicaid Services originally issue the 1225063688 to Mmg 1Pc?
The Centers for Medicare & Medicaid Services originally issued the 1225063688 to Mmg 1Pc on 2006-07-12.
As of what date was the information regarding Mmg 1Pc, such as address, specialty, and other details, last verified and confirmed to be up-to-date?
The information related to Mmg 1Pc, including its address, specialty, and other relevant details, was last verified and confirmed to be up-to-date on 2018-09-20.