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Contact Information

ASCENSION PROVIDENCE HOSPITAL
16001 W 9 MILE RD
SOUTHFIELD, MI48075-4818
 Phone: 248-849-2561
 Fax: 248-849-8313
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Internal Medicine

207R00000X 11 Physician/Internal Medicine
 

Allergy & Immunology

207K00000X 03 Physician/Allergy/ Immunology
 

Interventional Cardiology

207RI0011X 11 Physician/Internal Medicine
 

Neurology

2084N0400X 13 Physician/Neurology
 

Pulmonary Disease

207RP1001X 11 Physician/Internal Medicine
Indicates primary specialty

NPI Profile & details for ASCENSION PROVIDENCE HOSPITAL · (Female)

NPI Number 1730575085
Status Active
Credentials
Entity Individual
Enumeration date 04/14/2015
Last updated 06/28/2022 - About 4 years ago
Sole proprietor 1 Not specified
Identifiers
  • MI License # 4301055579
  • MI License # 4301056134
  • MI License # 4301058284
  • MI License # 4301059442
  • MI License # 4301067318
Hospital affiliation(s) Not Available
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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