Organization

Ascension Medical Group Michigan

Surgery Physician in Detroit, MI(View on Map)

Legal Business Name

Ascension Medical Group Michigan

NPI Number

1629272968

NPI Type

Organization

Enumeration Date

06/12/2007

Contact
Information

Purpose

Mailing
Location

Address

2800 LIVERNOIS RD
22201 MOROSS RD

City

Troy
Detroit

State

MI
MI

Postal Code

48083-1215
48236-2169

Country

US
US

Telephone Number

(248) 680-8205
(248) 680-8205

Authorized Official

Name

Sarah Starkel

Title or Position

SUPERVISOR

Telephone Number

(248) 680-8121

Identifiers

Identifier

0H231320

Identifier State

MI

Identifier Issuer

BLUE CROSS GROUP

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

Data last updated by provider on 06/17/2021

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