# BI COUNTY CLINICAL PRACTICES

> Is this information incorrect? This page shows public data from NPPES. Update your record in NPPES and this page will update automatically within 7 days. [Update your NPPES record](https://nppes.cms.hhs.gov)

- **Entity:** Organization
- **Status:** Active
- **Other names:** Henry Ford Macomb Hospital-Warren
- **Organization subpart:** No

## Provider details

- **NPI number:** 1043535990
- **Authorized official:** TERRY GOODBALIAN (CFO)
- **Authorized official phone:** (586) 263-2705

## Contact information

- **Practice address:** 27500 HOOVER RD, SUITE 100, WARREN, MI 48093-4586
- **Practice address phone:** (586) 754-2558
- **Practice address fax:** (586) 754-2426
- **Mailing address:** PO BOX 673195, DETROIT, MI 48267-3195
- **Mailing address phone:** (810) 720-5715
- **Mailing address fax:** (810) 732-0891

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 208G00000X | Thoracic Surgery (Cardiothoracic Vascular Surgery) Physician | — | MI | Yes |

## Other

- **Enumeration date:** 04/05/2010
- **Last updated:** 07/20/2010