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NPI Code Detail

MEDICARE: HENR Y FORD HEALTH SYSTEM

MEDICARE: HENR Y FORD HEALTH SYSTEM
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1207QH0002XHospice and Palliative Medicine (Family Medicine) Physician
22083A0100XAerospace Medicine Physician
32083X0100XOccupational Medicine Physician
4207X00000XOrthopaedic Surgery Physician
5207Q00000XFamily Medicine Physician830190MI

General Provider Information

NPI Number : 1952485351
Entity Type Code : Organization
Provider Name (Legal Business Name) : HENR Y FORD HEALTH SYSTEM
Provider Business Mailing Address
First Line : 2799 W GRAND BLVD
Second Line :
City : DETROIT
State : MI
Zip : 48202-2608
Country : US
Telephone Number : 313-916-2600
Fax Number :
Provider Business Practice Location Address
First Line : 2799 W GRAND BLVD
Second Line :
City : DETROIT
State : MI
Zip : 48202-2608
Country : US
Telephone Number : 313-916-2600
Fax Number :
Authorized Official
Title or Position : DIRECTOR OF PROVIDER AFFAIRS
Name : KIMBERLY CEBALT
Credential :
Telephone Number : 313-874-6764
Provider Enumeration Date : 10/24/2006
Last Update Date : 06/02/2026

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Directions to “HENR Y FORD HEALTH SYSTEM ” Practice Location

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