Ascension Medical Group Promed

NPI #1497709869 in Portage, Michigan

Provider Information

NPI Number: 1497709869
Entity Type: Organization
Organization Name: Ascension Medical Group Promed
Primary Specialty: Family Medicine
Enumeration Date: May 20, 2006
Last Updated: Dec 30, 2022

Practice Location

Address: 7901 ANGLING RD
City: Portage
State: Michigan
ZIP Code: 49024-0714
Phone: (269) 552-2912

Authorized Official

Name: MARINA HOUGHTON
Title: CFO
Phone: (269) 226-4800

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Internal Medicine	207R00000X
Obstetrics & Gynecology - Gynecology — Gynecology	207VG0400X
Pediatrics	208000000X
General Practice	208D00000X
Nursing Care	251J00000X
Internal Medicine - Geriatric Medicine — Geriatric Medicine	207RG0300X
Family Medicine	207Q00000X	Primary

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