Organization
ASCENSION MEDICAL GROUP MICHIGAN
Active
Parent organization
ASCENSION MEDICAL GROUP MICHIGAN
Other names
HENRY FORD SEMI MEDICAL GROUP
Organization subpart
Yes
Provider details
NPI number
Legal business name
ASCENSION MEDICAL GROUP MICHIGAN
Authorized official
RACHEL R PERRY (MANAGER)
(248) 221-1918
Entity
Organization
Contact information
Practice address
37771 SCHOENHERR RD, SUITE 104, STERLING HEIGHTS, MI 48312-2302
(586) 274-2400
(586) 258-3333
Mailing address
PO BOX 14129, BELFAST, ME 04915-4032
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
—
MI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
700E020100
BCBSM GROUP NUMBER
MI
01
—
CB2735
RAILROAD MEDICARE GROUP NUMBER
MI
01
—
DG7739
RAILROAD MEDICARE GROUP NUMBER
MI
Enumeration date
05/31/2007
Last updated
04/16/2025
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