| NPI | 1215103940 |
|---|---|
| Doing Business As | NORTHWEST INTERNAL MEDICINE |
| Entity Type | Organization |
| Authorized Contact | GEOFFREY A. TRIVAX President 248-851-1430 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207R00000X Internal Medicine |
| Additional Taxonomies | 208D00000X General Practice |
| Enumeration Date | 2008-05-02 |
| Last Update Date | 2018-09-20 |