institution
Ascension Providence Hospital
Surgical Physician Assistant in Southfield, Michigan
NPI 1376508333

Ascension Providence Hospital is a Surgical Physician Assistant based in Troy, MI and is specialized in Surgical. Ascension Providence Hospital practices in Southfield, MI. The NPI Number for Ascension Providence Hospital is 1376508333 and holds a License No. (Michigan).

The current practice location address for Ascension Providence Hospital is 16001 W 9 Mile Rd, Southfield, MI and can be reached out via phone at 248-849-3000 and via fax at 248-849-2244. You can also correspond with Ascension Providence Hospital through the mailing address at 2800 LIVERNOIS RD, TROY, MI - 48083-1215 (mailing address contact number: 248-680-8000).

Location: 16001 W 9 Mile Rd, Southfield, MI, 48083-1215
institution
Provider Profile Details
NPI Number
1376508333
Provider Name
Ascension Providence Hospital
Credential
Provider Entity Type
Organization
Address
16001 W 9 Mile Rd, Southfield, MI, 48083-1215
Phone Number
248-849-3000
Fax Number
248-849-2244
Provider Enumeration Date
04/20/2006
Last Update Date
03/12/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
0N89760 01 MI MEDICARE GROUP PIN #
institution
Provider Business Practice Location Address Details
Address
16001 W 9 Mile Rd
City
State
Zip
48075-4818
Phone Number
248-849-3000
Fax Number
248-849-2244
person
Provider Business Mailing Address Details
Address
16001 W 9 Mile Rd
City
State
Zip
48075-4818
Phone Number
248-849-3000
Fax Number
248-849-2244
person
Provider's Taxonomy Details 1
Type
Physician Assistants & Advanced Practice Nursing Providers
Classification
Physician Assistant
Speciality
Medical
Taxonomy
License No.
()
Definition
Definition to come...
person
Provider's Taxonomy Details 2
Type
Physician Assistants & Advanced Practice Nursing Providers
Classification
Physician Assistant
Speciality
Surgical
Taxonomy
License No.
()
Definition
Definition to come...
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