Individual provider · Type 1 NPI
Justin Elijah Trivax, MD
Cardiovascular Disease Physician · Bingham Farms, MI
NPI number
1174566095
Active
Practice location
31500 Telegraph Rd, Suite 115
Bingham Farms, MI 48025-4367
Fax (248) 594-4928
Mailing address
29992 Northwestern Hwy, Suite C
Farmington Hills, MI 48334-3292
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Internal Medicine Physician | 207R00000X | 4301081886 (MI) |
| Cardiovascular Disease Physician Primary | 207RC0000X | 4301081886 (MI) |
Cardiovascular Disease Physician: An internist who specializes in diseases of the heart and blood vessels and manages complex cardiac conditions such as heart attacks and life-threatening, abnormal heartbeat rhythms.
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About NPI 1174566095
Justin Elijah Trivax, MD's National Provider Identifier is 1174566095, issued on Jun 14, 2006. The primary taxonomy on file is Cardiovascular Disease Physician (207RC0000X), and the practice location is in Bingham Farms, MI. The record was last updated on Dec 20, 2012.