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1063542165
ASCENSION MEDICAL GROUP PROMED
PORTAGE, MI
NPI
1063542165
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Entity Type
Organization
Authorized Contact
MARINA HOUGHTON
CFO
269-226-4800
Organization Subpart ?
No
Primary Taxonomy
101Y00000X Counselor
Enumeration Date
2007-03-07
Last Update Date
2022-12-30
Business Address
ASCENSION MEDICAL GROUP PROMED
8001 ANGLING RD
PORTAGE, MI 49024-7422
Phone number: 269-321-7090
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Mailing Address
ASCENSION MEDICAL GROUP PROMED
1717 SHAFFER ST STE 2
KALAMAZOO, MI 49048-1623
Phone number: 269-552-2836
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