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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