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Contact Information

ASCENSION MEDICAL GROUP MICHIGAN
11900 E 12 MILE RD
SUITE 110
WARREN, MI48093-3400
 Phone: 586-582-7070
 Fax: 586-582-7066
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Orthopaedic Surgery

207X00000X 02 Physician/General Surgery
 

Adult Reconstructive Orthopaedic Surgery

207XS0114X 02 Physician/General Surgery
 

Foot and Ankle Surgery

207XX0004X 02 Physician/General Surgery
 

Orthopaedic Surgery of the Spine

207XS0117X 02 Physician/General Surgery
 

Orthopaedic Trauma

207XX0801X 02 Physician/General Surgery
 

Sports Medicine

207XX0005X 02 Physician/General Surgery
Indicates primary specialty

NPI Profile & details for ASCENSION MEDICAL GROUP MICHIGAN · (Female)

NPI Number 1023041852
Status Active
Credentials
Entity Individual
Enumeration date 07/07/2006
Last updated 04/16/2025 - More than a year ago
Sole proprietor 1 Not specified
Identifiers
  • MI Other 0E011770 BCBSM GROUP NUMBER
  • MI Other CB2735 RAILROAD MEDICARE GROUP NUMBER
  • MI Other CG1891 RAILROAD MEDICARE GROUP NUMBER
  • MI Other CG1892 RAILROAD MEDICARE GROUP NUMBER
  • MI Other CG3113 RAILROAD MEDICARE GROUP NUMBER
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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