Graduated: 2003
NPI: 1457301558
Practice Locations (2)
ASCENSION MEDICAL GROUP PROMED
7775 ANGLING RD
PORTAGE, MI 490247427
2693217120
ASCENSION MEDICAL GROUP PROMED
7901 ANGLING RD
PORTAGE, MI 490240714
Source: CMS National Downloadable File, September 2026.