Organization · NPI-2

Henry Ford Health System

Surgery · Detroit, MI

NPI number1508942525
StatusActive
Last updated in NPPESAug 23, 2024

Details

NPI
1508942525
Entity type
Organization (NPI-2)
Legal business name
Henry Ford Health System
Organization subpart
No
Enumeration date
Oct 31, 2006
Certification date
Aug 23, 2024
Last updated
Aug 23, 2024

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
208600000X Surgery830190MIYes
204F00000X Transplant Surgery––
2086S0102X Surgery, Surgical Critical Care––
2086S0129X ––
2086X0206X Surgery, Surgical Oncology––

Practice location

2799 W Grand Blvd
Detroit, MI 48202-2608

Phone 313-916-2600

Mailing address

2799 W Grand Blvd
Detroit, MI 48202-2608

Phone 313-916-2600

Authorized official

Kelly Ratowski
Director Of Provider Affairs
3138744806

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