| NPI | 1205855186 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | GEOFFREY A TRIVAX President 313-538-3099 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207Q00000X Family Medicine |
| Additional Taxonomies | 207RC0000X Internal Medicine, Cardiovascular Disease |
| Enumeration Date | 2006-07-19 |
| Last Update Date | 2018-09-20 |