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Henry Ford Health System

Radiology, Therapeutic Radiology in Detroit, MI. Organization (NPI-2).

NPI number1598836033
StatusActive
Last updated in NPPESMar 14, 2024

Details

NPI
1598836033
Entity type
Organization (NPI-2)
Legal business name
Henry Ford Health System
Organization subpart
No
Enumeration date
Nov 13, 2006
Certification date
Mar 14, 2024
Last updated
Mar 14, 2024

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
2085R0203X Radiology, Therapeutic Radiology830190MIYes

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
2487032003

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