| Ascending Home Physicians, P.c. | |
|
22100 Greenfield Rd Oak Park MI 48237-2550 | |
| (248) 967-3200 | |
| (248) 967-1387 |
| Full Name | Ascending Home Physicians, P.c. |
|---|---|
| Speciality | Internal Medicine - Geriatric Medicine |
| Location | 22100 Greenfield Rd, Oak Park, Michigan |
| Authorized Official Name and Position | Arthur Irving Bouier (PRESIDENT) |
| Authorized Official Contact | 2489673200 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Ascending Home Physicians, P.c. 22100 Greenfield Rd Oak Park MI 48237-2550 Ph: (248) 967-3200 | Ascending Home Physicians, P.c. 22100 Greenfield Rd Oak Park MI 48237-2550 Ph: (248) 967-3200 |
| NPI Number | 1568584316 |
|---|---|
| Provider Enumeration Date | 04/04/2007 |
| Last Update Date | 03/07/2023 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1568584316 | NPI | - | NPPES |
| 11OF304160 | Other | MI | BCBS PIN |
| 4396374-11 | Medicaid | MI | |
| 5101007369 | Other | MI | LICENSE NUMBER |
| 5631212 | Other | MI | BCBS PROVIDER NUMBER |
| N96250001 / ON96250 | Other | MI | MEDICARE PROVIDER # / GROUP # |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207RG0300X | Internal Medicine - Geriatric Medicine | 5101007369 (Michigan) | Primary |
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