MMG 1PC NPI 1184878001

NPI Information

MMG 1PC is a neurology psychiatry neurology in Southfield, MI. The provider is a Neurologist specializes in the diagnosis and treatment of diseases or impaired function of the brain, spinal cord, peripheral nerves, muscles, autonomic nervous system, and blood vessels that relate to these structures. MMG 1PC NPI is 1184878001. The provider is registered as an organization entity type and is a single specialty group.
The provider Is Doing Business As Neurological Consultants.

The provider's business location address is:

26400 W 12 MILE RD
SUITE 170
SOUTHFIELD, MI
ZIP 48034-700
Phone: (248) 208-8787
Fax: (248) 208-8788

The provider's authorized official is Geoffrey A Trivax .
The authorized official title is President and has the following contact phone number (248) 851-1430.

The enumeration date for this NPI number is 11/5/2008 and was last updated on 9/20/2018.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

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