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Ascension Medical Group Michigan
Obstetrics Physician in Saint Clair Shores, Michigan
NPI 1366515496

Ascension Medical Group Michigan is a Obstetrics Physician based in Belfast, MI and is specialized in Obstetrics. Ascension Medical Group Michigan practices in Saint Clair Shores, MI. The NPI Number for Ascension Medical Group Michigan is 1366515496 and holds a License No. (Michigan).

The current practice location address for Ascension Medical Group Michigan is 21000 E 12 Mile Rd, Saint Clair Shores, MI and can be reached out via phone at 586-447-5100 and via fax at 586-447-5090.

Location: 21000 E 12 Mile Rd, Saint Clair Shores, MI, 04915-4032
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
institution
Provider Profile Details
NPI Number
1366515496
Provider Name
Ascension Medical Group Michigan
Credential
Provider Entity Type
Organization
Address
21000 E 12 Mile Rd, Saint Clair Shores, MI, 04915-4032
Phone Number
586-447-5100
Fax Number
586-447-5090
Provider Enumeration Date
11/16/2006
Last Update Date
03/12/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
CG4683 01 MI RAILROAD MEDICARE GROUP NUMBER
0E01168 01 MI BCBSM GROUP NUMBER
0M92780 01 MI MEDICARE GROUP NUMBER
institution
Provider Business Practice Location Address Details
Address
21000 E 12 Mile Rd
City
Saint Clair Shores
State
Michigan
Zip
48081-1116
Phone Number
586-447-5100
Fax Number
586-447-5090
person
Provider Business Mailing Address Details
Address
21000 E 12 Mile Rd
City
Saint Clair Shores
State
Michigan
Zip
48081-1116
Phone Number
586-447-5100
Fax Number
586-447-5090
person
Provider's Taxonomy Details 1
Type
Allopathic & Osteopathic Physicians
Classification
Obstetrics & Gynecology
Speciality
-
Taxonomy
207V00000X
License No.
()
Definition
An obstetrician/gynecologist possesses special knowledge, skills and professional capability in the medical and surgical care of the female reproductive system and associated disorders. This physician serves as a consultant to other physicians and as a primary physician for women.
person
Provider's Taxonomy Details 2
Type
Allopathic & Osteopathic Physicians
Classification
Obstetrics & Gynecology
Speciality
Gynecology
Taxonomy
207VG0400X
License No.
()
Definition
Definition to come...
person
Provider's Taxonomy Details 3
Type
Allopathic & Osteopathic Physicians
Classification
Obstetrics & Gynecology
Speciality
Obstetrics
Taxonomy
207VX0000X
License No.
()
Definition
Definition to come...
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