# ASCENSION MEDICAL GROUP MICHIGAN

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- **Entity:** Organization
- **Status:** Active
- **Other names:** MRG MPN, HENRY FORD SEMI MEDICAL GROUP
- **Organization subpart:** No

## Provider details

- **NPI number:** 1184711129
- **Authorized official:** RACHEL R PERRY (MANAGER)
- **Authorized official phone:** (248) 221-1918

## Contact information

- **Practice address:** 24371 WEST TEN MILE ROAD, SOUTHFIELD, MI 48034
- **Practice address phone:** (248) 356-5273
- **Practice address fax:** (248) 356-5666
- **Mailing address:** PO BOX 14129, BELFAST, ME 04915-4032

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 207R00000X | Internal Medicine Physician | — | MI | Yes |

## Other

- **Enumeration date:** 10/10/2006
- **Last updated:** 04/16/2025