# ASCENSION MEDICAL GROUP MICHIGAN

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1255590766
- **Authorized official:** SARAH STARKEL (MANAGER)
- **Authorized official phone:** (248) 680-8000

## Contact information

- **Practice address:** 11900 E 12 MILE RD, SUITE 110, WARREN, MI 48093-3400
- **Practice address phone:** (586) 582-7070
- **Mailing address:** PO BOX 14129, BELFAST, ME 04915-4032

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 332900000X | Non-Pharmacy Dispensing Site | BM6782646 | MI | Yes |

## Other

- **Enumeration date:** 06/09/2008
- **Last updated:** 11/29/2023