Organization · Type 2 NPI

Ascension Medical Group Michigan

Orthopaedic Surgery Physician · Warren, MI

NPI number 1023041852 Active

Practice location

11900 E 12 Mile Rd, Suite 110
Warren, MI 48093-3400

Call (586) 582-7070 Map

Fax (586) 582-7066

Mailing address

PO Box 14129
Belfast, ME 04915-4032

Specialties and licenses

Taxonomy	Code	License
Orthopaedic Surgery Physician Primary	207X00000X	None listed
Adult Reconstructive Orthopaedic Surgery Physician	207XS0114X	None listed
Orthopaedic Surgery of the Spine Physician	207XS0117X	None listed
Orthopaedic Foot and Ankle Surgery Physician	207XX0004X	None listed
Sports Medicine (Orthopaedic Surgery) Physician	207XX0005X	None listed
Orthopaedic Trauma Physician	207XX0801X	None listed

Orthopaedic Surgery Physician: An orthopaedic surgeon is trained in the preservation, investigation and restoration of the form and function of the extremities, spine and associated structures by medical, surgical and physical means. An orthopaedic surgeon is involved with the care of patients whose musculoskeletal problems include congenital deformities, trauma, infections, tumors, metabolic disturbances of the musculoskeletal system, deformitie…

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About NPI 1023041852

Ascension Medical Group Michigan's National Provider Identifier is 1023041852, issued on Jul 7, 2006. The primary taxonomy on file is Orthopaedic Surgery Physician (207X00000X), and the practice location is in Warren, MI. The record was last updated on Apr 16, 2025.