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Organization

ASCENSION MEDICAL GROUP MICHIGAN

Active
Other names
HENRY FORD SEMI MEDICAL GROUP
Organization subpart
No

Provider details

NPI number
Authorized official
MS. RACHEL R PERRY (MANAGER)
(248) 221-1918
Entity
Organization

Contact information

Practice address
11900 E 12 MILE RD, SUITE 110, WARREN, MI 48093-3400
(586) 582-7070
(586) 582-7066
Mailing address
PO BOX 14129, BELFAST, ME 04915-4032
(248) 680-8000
(248) 292-3852

Taxonomy

Speciality
Code
Description
License number
State
207X00000X
Orthopaedic Surgery Physician
Primary
MI
207XS0114X
Adult Reconstructive Orthopaedic Surgery Physician
MI
207XS0117X
Orthopaedic Surgery of the Spine Physician
MI
207XX0004X
Orthopaedic Foot and Ankle Surgery Physician
MI
207XX0005X
Sports Medicine (Orthopaedic Surgery) Physician
MI
207XX0801X
Orthopaedic Trauma Physician
MI

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
0E011770
BCBSM GROUP NUMBER
MI
01
CB2735
RAILROAD MEDICARE GROUP NUMBER
MI
01
CG1891
RAILROAD MEDICARE GROUP NUMBER
MI
01
CG1892
RAILROAD MEDICARE GROUP NUMBER
MI
01
CG3113
RAILROAD MEDICARE GROUP NUMBER
MI
Enumeration date
07/07/2006
Last updated
04/16/2025
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