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Organization
HENRY FORD HEALTH ST. JOHN HOSPITAL
Active
Organization
HENRY FORD HEALTH ST. JOHN HOSPITAL
Active
Other names
St John North Shores Hospital
Organization subpart
No
Provider details
NPI number
Authorized official
KIMBERLY CEBALT (DIRECTOR)
(313) 874-6764
Entity
Organization
Contact information
Practice address
26755 BALLARD ST, HARRISON TOWNSHIP, MI 48045-2419
(584) 655-5501
Mailing address
28000 DEQUINDRE RD, WARREN, MI 48092-2468
(586) 753-0275
Taxonomy
Speciality
Code
Description
License number
State
213E00000X
Podiatrist
Primary
—
—
213ES0103X
Foot & Ankle Surgery Podiatrist
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0E0110
BLUE CROSS
—
Enumeration date
05/28/2008
Last updated
04/12/2026
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