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Organization

ASCENSION MACOMB OAKLAND HOSPITAL

Active
Other names
Michigan Neuro-Ophthalmology & Oculoplastic Surgery
Organization subpart
No

Provider details

NPI number
Authorized official
SARAH STARKEL (CREDENTIALING COORDINATOR)
(248) 680-8121
Entity
Organization

Contact information

Practice address
27351 DEQUINDRE RD, MADISON HEIGHTS, MI 48071-3487
(248) 680-8000
Mailing address
3195 SOLUTIONS CENTER BOX 773195, CHICAGO, IL 60677-0001
(248) 680-8000

Taxonomy

Speciality
Code
Description
License number
State
207T00000X
Neurological Surgery Physician
207W00000X
Ophthalmology Physician
Primary
MI
208200000X
Plastic Surgery Physician
2086S0122X
Plastic and Reconstructive Surgery Physician
FM

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
180E01180
BCBS GROUP NUMBER
MI
01
CG3113
RAILROAD MEDICARE GROUP NUMBER
MI
Enumeration date
06/19/2006
Last updated
11/15/2023
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