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Organization
TRINITY HEALTH ACADEMIC INTERNAL MEDICINE-NORTHWEST LIVONIA
Active
Organization
TRINITY HEALTH ACADEMIC INTERNAL MEDICINE-NORTHWEST LIVONIA
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. VIKTOR LAPORTE (GME ADMINISTRATOR)
(734) 343-1000
Entity
Organization
Contact information
Practice address
36475 FIVE MILE RD, LIVONIA, MI 48154-1971
(734) 793-2470
Mailing address
37595 7 MILE RD STE 340, LIVONIA, MI 48152-1489
(734) 793-2470
Taxonomy
Speciality
Code
Description
License number
State
390200000X
Student in an Organized Health Care Education/Training Program
Primary
—
—
Other
Enumeration date
10/17/2024
Last updated
10/17/2024
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