NPI 1396913893 · live from the CMS NPI Registry
Ascension Medical Group Michigan
Family Medicine in Clinton Township, MI. National Provider Identifier 1396913893, active.
NPI record
| NPI | 1396913893 Type 2 · organization |
|---|---|
| Status | Active |
| Primary specialty | Family Medicine 207Q00000X |
| Practice location | 36975 Utica Rd, Suite 102, Clinton Township, MI 48036 |
| Practice phone | 586-228-0500 |
| Mailing address | Po Box 14129, Belfast, ME 04915 |
| Enumerated | February 19, 2008 |
| Last updated | April 16, 2025 |
| Authorized official | Rachel Perry, Manager |
| Other names | Henry Ford Semi Medical Group |
Taxonomies and licenses
| Taxonomy | Code | License |
|---|---|---|
| Family Medicine primary | 207Q00000X | 4301059589 (MI) |
Source: CMS NPPES NPI Registry. NPI data is self-reported by providers; license numbers are not verified by CMS.