Organization Name:  ASCENSION ST. MARY'S HOSPITAL


Practice Location:
4705 TOWNE CTR SUITE 104 SAGINAW, MI 48604 US
Tel: 989-497-3157  Fax: --

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


Taxonomy:

Primary	Code	Category/Description	State	License Number
N	2082S0105X	Physicians Plastic Surgery Surgery of the Hand	MI	5101015176
N	2086S0122X	Physicians Surgery	MI	5101015176
Y	208200000X	Physicians Plastic Surgery	MI	5101015176

Other Provider Identifiers:

Issuer	Number	State	Type
	1639263098	MI	05

Code values:
01, Other | 02, Medicare Upin | 04, Medicare Id-Type Unspecified
05, Medicaid | 06, Medicare Oscar/Certification | 07, Medicare NSC | 08, Medicare Pin