| NPI | 1972232098 |
|---|---|
| Doing Business As | ASCENSION MEDICAL GROUP BREAST CARE CENTER |
| Entity Type | Organization |
| Authorized Contact | LAURILEE MCCORD Provider Enrollment 989-362-9411 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 208600000X Surgery |
| Enumeration Date | 2022-06-06 |
| Last Update Date | 2022-06-06 |