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Contact Information

ASCENSION MEDICAL GROUP MICHIGAN
42645 GARFIELD RD
CILNTON TOWNSHIP, MI48038-5022
 Phone: 586-228-4652
 Fax:
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Nurse Practitioner

363L00000X 50 Nurse Practitioner
 

Adult Health

363LA2200X 50 Nurse Practitioner
 

Family

363LF0000X 50 Nurse Practitioner
 

Pediatrics

363LP0200X 50 Nurse Practitioner
Indicates primary specialty

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

NPI # 1144436411
Status Active
Credentials
Entity Individual
Enumeration date 05/15/2007
Last updated 04/16/2025 - More than a year ago
Sole proprietor 1 Not specified
Identifiers
  • MI Other 0E01273 BCBSM 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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