| Millenium Diagnostic Center | |
|
30840 Northwestern Hwy Suite 300 Farmington Hills MI 48334-2552 | |
| (248) 932-8725 | |
| (248) 932-8977 |
| Full Name | Millenium Diagnostic Center |
|---|---|
| Speciality | Internal Medicine |
| Location | 30840 Northwestern Hwy, Farmington Hills, Michigan |
| Authorized Official Name and Position | Geoffrey A Trivax (PRESIDENT) |
| Authorized Official Contact | 3135383099 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Millenium Diagnostic Center 29992 Northwestern Hwy Ste C Farmington Hills MI 48334-3292 Ph: (248) 851-1434 | Millenium Diagnostic Center 30840 Northwestern Hwy Suite 300 Farmington Hills MI 48334-2552 Ph: (248) 932-8725 |
| NPI Number | 1982639357 |
|---|---|
| Provider Enumeration Date | 07/12/2006 |
| Last Update Date | 12/23/2021 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1982639357 | NPI | - | NPPES |
| 700F319250 | Other | MI | BLUE SHIELD GROUP |
| CK4521 | Other | MI | MEDICARE ID TYPE UNSPECIFIED |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207R00000X | Internal Medicine | (* (Not Available)) | Primary |
| 207RC0000X | Internal Medicine - Cardiovascular Disease | (* (Not Available)) | Secondary |
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