MMG 1 PC

SOUTHFIELD, MI
NPI1023037025
Entity TypeOrganization
Authorized ContactGEOFFREY A TRIVAX
President
313-538-3099
Organization Subpart ?No
Primary Taxonomy363L00000X Nurse Practitioner
Enumeration Date2006-07-19
Last Update Date2021-05-24
Business Address
MMG 1 PC
28625 NORTHWESTERN HWY SUITE 213
SOUTHFIELD, MI 48034-1828
Phone number: 248-354-9666
Mailing Address
MMG 1 PC
29992 NORTHWESTERN HWY STE C
FARMINGTON HILLS, MI 48334-3292
Phone number: 248-851-1430
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