Dr CHRISTINE E WINE is a female medical professional, specializing in Clinical Social Worker. She graduated in 2007.
ASCENSION MEDICAL GROUP PROMED
7901 ANGLING RD
PORTAGE
MI
490240714
Tel:
| Npi | 1851767503 |
| Pac Id | 0941587687 |
| Professional Enrollment Id | I20170504002489 |
| Last Name | WINE |
| First Name | CHRISTINE |
| Middle Name | E |
| Suffix | |
| Gender | F |
| Credential | |
| Medical School Name | OTHER |
| Graduation Year | 2007 |
| Primary Specialty | CLINICAL SOCIAL WORKER |
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| Organization Legal Name | ASCENSION MEDICAL GROUP PROMED |
| Group Practice Pac Id | 7315856077 |
| Number Of Group Practice Members | 304 |
| Line 1 Street Address | 7901 ANGLING RD |
| Line 2 Street Address | |
| Marker Of Address Line 2 Suppression | |
| City | PORTAGE |
| State | MI |
| Zip Code | 490240714 |
| Phone Number | |
| Hospital Affiliation Ccn 1 | 230117 |
| Hospital Affiliation Lbn 1 | BORGESS MEDICAL CENTER |
| Hospital Affiliation Ccn 2 | |
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| Professional Accepts Medicare Assignment | Y |
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