Organization · Type 2 NPI

Ascension Medical Group Michigan

Non-Pharmacy Dispensing Site · Warren, MI

NPI number 1255590766 Active

Practice location

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

Mailing address

PO Box 14129
Belfast, ME 04915-4032

Specialties and licenses

TaxonomyCodeLicense
Non-Pharmacy Dispensing Site Primary 332900000XBM6782646 (MI)

Non-Pharmacy Dispensing Site: A site other than a pharmacy that dispenses medicinal preparations under the supervision of a physician to patients for self-administration. (e.g. physician offices, ER, Urgent Care Centers, Rural Health Facilities, etc.)

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About NPI 1255590766

Ascension Medical Group Michigan's National Provider Identifier is 1255590766, issued on Jun 9, 2008. The primary taxonomy on file is Non-Pharmacy Dispensing Site (332900000X), and the practice location is in Warren, MI. The record was last updated on Nov 29, 2023.