ASCENSION MEDICAL GROUP MICHIGAN
Organization (NPI-2)
Active
Nurse Practitioner
Provider Information
- NPI Number
1144436411- Provider Type
- Organization / Facility (NPI-2)
- Status
- Active
Contact & Location
- Address
- 42645 GARFIELD RD, CLINTON TOWNSHIP, MI, 480385022
- Phone
- (586) 228-4652
Specialties & Taxonomies
Nurse Practitioner
Primary License: MI
Nurse Practitioner, Adult Health
License: MI
Nurse Practitioner, Family
Nurse Practitioner, Pediatrics
License: MI