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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
13935 PLUMBROOK RD, STERLING HEIGHTS, MI 48312-1727
(586) 939-9900
(586) 939-8246
Mailing address
PO BOX 14129, BELFAST, ME 04915-4032
(248) 680-8000
(248) 292-3852

Taxonomy

Speciality
Code
Description
License number
State
213E00000X
Podiatrist
5901002120
MI
213EP1101X
Primary Podiatric Medicine Podiatrist
Primary
5901002120
MI
213ES0000X
Sports Medicine Podiatrist
5901002120
MI
213ES0103X
Foot & Ankle Surgery Podiatrist
5901002120
MI
213ES0131X
Foot Surgery Podiatrist
5901002120
MI

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
0E02063
BCBSM DME NUMBER
MI
01
540E020630
BCBS DME SUPPLIER NUMBER
MI
01
5501280
BCBS PIN
MI
01
700E012740
BCBSM GROUP NUMBER
MI
01
CA6965
RAILROAD MEDICARE GROUP NUMBER
MI
01
CB2735
RAILROAD MEDICARE GROUP NUMBER
MI
Enumeration date
09/16/2006
Last updated
04/16/2025
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