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NPI Code Detail

MEDICARE: MALCOLM TRIMBLE MD

MEDICARE: MALCOLM TRIMBLE MD
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1207RH0003XHematology & Oncology PhysicianMT061391MI

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number : 1831164375
Entity Type Code : Individual
Provider Name (Legal Business Name) : MALCOLM TRIMBLE MD
Provider Business Mailing Address
First Line : 1100 E MICHIGAN AVE STE 307
Second Line :
City : JACKSON
State : MI
Zip : 49201-1850
Country : US
Telephone Number : 517-205-1594
Fax Number : 517-205-1540
Provider Business Practice Location Address
First Line : 1100 E MICHIGAN AVE STE 307
Second Line :
City : JACKSON
State : MI
Zip : 49201-1850
Country : US
Telephone Number : 517-205-1594
Fax Number : 517-205-1540
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 02/20/2006
Last Update Date : 08/08/2023

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Directions to “ MALCOLM TRIMBLE MD” Practice Location

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