NPI 1356525562 · live from the CMS NPI Registry
Ascension Medical Group Michigan
Dietitian, Registered in Shelby Township, MI. National Provider Identifier 1356525562, active.
NPI record
| NPI | 1356525562 Type 2 · organization |
|---|---|
| Status | Active |
| Primary specialty | Dietitian, Registered 133V00000X |
| Practice location | 45660 Schoenherr Rd, Shelby Township, MI 48315 |
| Practice phone | 866-996-3066 |
| Mailing address | Po Box 14129, Belfast, ME 04915 |
| Enumerated | December 24, 2007 |
| Last updated | April 16, 2025 |
| Authorized official | Rachel Perry, Manager |
| Other names | St. John Weight Loss Institute; Henry Ford Semi Medical Group |
Taxonomies and licenses
| Taxonomy | Code | License |
|---|---|---|
| Dietitian, Registered primary | 133V00000X | — (MI) |
Source: CMS NPPES NPI Registry. NPI data is self-reported by providers; license numbers are not verified by CMS.