Organization · Type 2 NPI

Ascension Providence Hospital

Medical Physician Assistant · Southfield, MI

NPI number 1376508333 Active

Practice location

16001 W 9 Mile Rd
Southfield, MI 48075-4818

Call (248) 849-3000 Map

Fax (248) 849-2244

Mailing address

2800 Livernois Rd, Suite 500
Troy, MI 48083-1215

Specialties and licenses

TaxonomyCodeLicense
Medical Physician Assistant Primary 363AM0700XNone listed
Surgical Physician Assistant 363AS0400XNone listed

Medical Physician Assistant: Definition to come...

519 other providers at this address

About NPI 1376508333

Ascension Providence Hospital's National Provider Identifier is 1376508333, issued on Apr 20, 2006. The primary taxonomy on file is Medical Physician Assistant (363AM0700X), and the practice location is in Southfield, MI. The record was last updated on Jun 28, 2022.