Is this information incorrect? This page shows public data from NPPES. Update your record in NPPES and this page will update automatically within 7 days.
Organization
MMG 1PC
Active
Organization
MMG 1PC
Active
Other names
NORTHWEST INTERNAL MEDICINE
Organization subpart
No
Provider details
NPI number
Authorized official
DR. GEOFFREY A. TRIVAX M.D. (PRESIDENT)
(248) 851-1430
Entity
Organization
Contact information
Practice address
28625 NORTHWESTERN HWY, SUITE 213, SOUTHFIELD, MI 48034-1828
(248) 354-9666
(248) 354-3653
Mailing address
29992 NORTHWESTERN HWY STE C, FARMINGTON HILLS, MI 48334-3292
(248) 851-1430
(248) 851-5182
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
—
NULL
207R00000X
Internal Medicine Physician
Primary
—
—
208D00000X
General Practice Physician
—
NULL
208D00000X
General Practice Physician
—
—
Other
Enumeration date
05/02/2008
Last updated
09/20/2018
About Stedi
Stedi is the only programmable healthcare clearinghouse. You can use Stedi's APIs to process eligibility checks, claims, remits, and more.
Sign upProduct
Developers