Organization
ASCENSION MEDICAL GROUP MICHIGAN
Active
Organization subpart
No
Provider details
NPI number
Authorized official
RACHEL R PERRY (MANAGER)
(248) 221-1918
Entity
Organization
Contact information
Practice address
42645 GARFIELD RD, CLINTON TOWNSHIP, MI 48038-5022
(586) 228-4652
Mailing address
PO BOX 14129, BELFAST, ME 04915-4032
(248) 680-8000
(248) 292-3852
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
—
MI
363LA2200X
Adult Health Nurse Practitioner
—
MI
363LF0000X
Family Nurse Practitioner
—
—
363LP0200X
Pediatric Nurse Practitioner
—
MI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0E01273
BCBSM GROUP NUMBER
MI
Enumeration date
05/15/2007
Last updated
04/16/2025
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