Organization
ASCENSION MEDICAL GROUP MICHIGAN
Active
Other names
HENRY FORD SEMI MEDICAL GROUP, St. John Weight Loss Institute
Organization subpart
No
Provider details
NPI number
Authorized official
RACHEL R PERRY (MANAGER)
(248) 221-1918
Entity
Organization
Contact information
Practice address
45660 SCHOENHERR RD, SHELBY TOWNSHIP, MI 48315-6033
(866) 996-3066
(586) 566-3068
Mailing address
PO BOX 14129, BELFAST, ME 04915-4032
Taxonomy
Speciality
Code
Description
License number
State
133V00000X
Registered Dietitian
Primary
—
MI
Other
Enumeration date
12/24/2007
Last updated
04/16/2025
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