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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
RACHEL R PERRY (MANAGER)
(248) 221-1918
Entity
Organization

Contact information

Practice address
36975 UTICA RD, SUITE 102, CLINTON TOWNSHIP, MI 48036-1685
(586) 228-0500
(586) 228-3865
Mailing address
PO BOX 14129, BELFAST, ME 04915-4032
(248) 680-8000
(248) 292-3852

Taxonomy

Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
4301059589
MI

Other

Enumeration date
02/19/2008
Last updated
04/16/2025
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