Trinity Health Academic Internal Medicine-Northwest Livonia

NPI #1346060977 in Livonia, Michigan

Provider Information

NPI Number: 1346060977
Entity Type: Organization
Organization Name: Trinity Health Academic Internal Medicine-Northwest Livonia
Primary Specialty: Student in an Organized Health Care Education/Training Program
Enumeration Date: Oct 17, 2024
Last Updated: Oct 17, 2024

Practice Location

Address: 36475 FIVE MILE RD
City: Livonia
State: Michigan
ZIP Code: 48154-1971
Phone: (734) 793-2470

Authorized Official

Name: MR. VIKTOR LAPORTE
Title: GME ADMINISTRATOR
Phone: (734) 343-1000

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Student in an Organized Health Care Education/Training Program	390200000X	Primary

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