Organization

Ascension Medical Group Promed

Pediatrics Physician in Sturgis, MI(View on Map)

Legal Business Name

Ascension Medical Group Promed

NPI Number

1013926997

NPI Type

Organization

Enumeration Date

08/07/2006

Specialties

(Taxonomies)

Code

208000000X
207VG0400X

Primary Taxonomy

Yes
No

Contact
Information

Purpose

Mailing
Location

Address

1717 SHAFFER ST STE 2
1555 E CHICAGO RD

City

Kalamazoo
Sturgis

State

MI
MI

Postal Code

49048-1623
49091-1993

Country

US
US

Telephone Number

(269) 552-2836
(269) 651-7114

Authorized Official

Name

Marin Houghton

Title or Position

CFO

Telephone Number

(269) 226-4800

Identifiers

Identifier

350C910110

Identifier State

Unknown

Identifier Issuer

BCBSM

Provider data last refreshed from NPPES NPI registry on 11/19/2024

Data last updated by provider on 12/30/2022

Provider Address

Other Pediatrics Physicians in Sturgis, Michigan:

Organization

Lake Country Health Alliance

May also be known as Lake Country Urology Clinic
Sturgis, MI

Specialty: Pediatrics Physician (Primary)

Organization

Lake Country Urology Clinic, Pllc

May also be known as Lake Country Health Alliance
Sturgis, MI

Specialties: Pediatrics Physician (Primary)Urology Physician

Organization

Sturgis Hospital, Inc.

May also be known as Sturgis Pediatrics And Women'S Center
Sturgis, MI

Specialties: Rural Health Clinic/Center (Primary)Pediatrics Physician