Ascension Medical Group Promed

NPI #1538299631 in Portage, Michigan

Provider Information

NPI Number: 1538299631
Entity Type: Organization
Organization Name: Ascension Medical Group Promed
Primary Specialty: Internal Medicine
Enumeration Date: Mar 7, 2007
Last Updated: Dec 30, 2022

Practice Location

Address: 7775 ANGLING RD
City: Portage
State: Michigan
ZIP Code: 49024-7427
Phone: (269) 324-8670

Authorized Official

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

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Internal Medicine	207R00000X	Primary

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