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1225063688
MMG 1PC
BINGHAM FARMS, MI
NPI
1225063688
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Entity Type
Organization
Authorized Contact
GEOFFREY A TRIVAX
President
313-538-3099
Organization Subpart ?
No
Primary Taxonomy
207R00000X Internal Medicine
Enumeration Date
2006-07-12
Last Update Date
2018-09-20
Business Address
MMG 1PC
31500 TELEGRAPH RD SUITE 100
BINGHAM FARMS, MI 48025-4367
Phone number: 248-723-5880
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Mailing Address
MMG 1PC
29992 NORTHWESTERN HWY
FARMINGTON HILLS, MI 48334-3292
Phone number: 248-851-1430
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