Organization · Type 2 NPI

Ascension Medical Group Michigan

Gynecology Physician · Southfield, MI

NPI number 1326257148 Active

Practice location

15990 W 9 Mile Rd
Southfield, MI 48075-4826

Call (248) 849-4229 Map

Fax (248) 849-4240

Mailing address

PO Box 14129
Belfast, ME 04915-4032

Specialties and licenses

Taxonomy	Code	License
Gynecology Physician Primary	207VG0400X	None listed
Obstetrics Physician	207VX0000X	None listed

Gynecology Physician: A physician who specializes in diagnosis, treatment, and management of patients with gynecologic conditions.

2 other providers at this address

Aaquila Buffington - Shepard, FNP-BCFamily Nurse Practitioner Southfield, MI NPI 1285101030
Ayah ShkoukaniPediatrics Physician Southfield, MI NPI 1538995022

Other gynecology physician providers in Southfield

See all in Southfield →

NPI record

NPI: 1326257148
Entity type: Organization (Type 2)
Issued: May 21, 2007
Last updated: Apr 16, 2025
Status: Active

Other names

<unavail>
Henry Ford Semi Medical Group · doing business as
MRG MPN Obgyn · other name
MRG MPN Obgyn · other name

Authorized official

Rachel R Perry
Manager
(248) 221-1918

Verify this record

This page mirrors the public NPPES file. For credentialing or billing, confirm it on the official CMS NPI Registry, and check the license with the state board.

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About NPI 1326257148

Ascension Medical Group Michigan's National Provider Identifier is 1326257148, issued on May 21, 2007. The primary taxonomy on file is Gynecology Physician (207VG0400X), and the practice location is in Southfield, MI. The record was last updated on Apr 16, 2025.