Organization
ASCENSION MEDICAL GROUP MICHIGAN
Active
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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