Organization
ASCENDING HOME PHYSICIANS, P.C.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. ARTHUR IRVING BOUIER D.O. (PRESIDENT)
(248) 967-3200
Entity
Organization
Contact information
Practice address
22100 GREENFIELD RD, OAK PARK, MI 48237-2550
(248) 967-3200
(248) 967-1387
Mailing address
22100 GREENFIELD RD, OAK PARK, MI 48237-2550
(248) 967-3200
(248) 967-1387
Taxonomy
Speciality
Code
Description
License number
State
207RG0300X
Geriatric Medicine (Internal Medicine) Physician
Primary
5101007369
MI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
11OF304160
BCBS PIN
MI
05
—
4396374-11
—
MI
01
—
5101007369
LICENSE NUMBER
MI
01
—
5631212
BCBS PROVIDER NUMBER
MI
01
—
N96250001 / ON96250
MEDICARE PROVIDER # / GROUP #
MI
Enumeration date
04/04/2007
Last updated
03/07/2023
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