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ASCENSION MEDICAL GROUP MICHIGAN

Physicians - Orthopaedic Surgery Sports Medicine

Warren, Michigan

Provider NPI: 1023041852

Organization Information:
Organization Name:  ASCENSION MEDICAL GROUP MICHIGAN


Practice Location:
11900 E 12 MILE RD SUITE 110 WARREN, MI 48093 US
Tel: 586-582-7070  Fax: --

Business Mailing Address:
  ,   
Tel: --  Fax: --


Taxonomy:

PrimaryCodeCategory/DescriptionStateLicense Number
N207XS0114XPhysicians
Orthopaedic Surgery
Adult Reconstructive Orthopaedic Surgery
MI
N207XS0117XPhysicians
Orthopaedic Surgery
MI
N207XX0004XPhysicians
Orthopaedic Surgery
MI
N207XX0005XPhysicians
Orthopaedic Surgery
MI
N207XX0801XPhysicians
Orthopaedic Surgery
MI
Y207X00000XPhysicians
Orthopaedic Surgery
MI

Other Provider Identifiers:

IssuerNumberStateType
BCBSM GROUP NUMBER0E011770MI01
RAILROAD MEDICARE GROUP NUMBERCG3113MI01
RAILROAD MEDICARE GROUP NUMBERCB2735MI01
RAILROAD MEDICARE GROUP NUMBERCG1892MI01
RAILROAD MEDICARE GROUP NUMBERCG1891MI01
Code values:
01, Other | 02, Medicare Upin | 04, Medicare Id-Type Unspecified
05, Medicaid | 06, Medicare Oscar/Certification | 07, Medicare NSC | 08, Medicare Pin



ORTHOPAEDIC SURGERY JOBS MI - Page 1



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