# HENRY FORD HEALTH SYSTEM

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1063573368
- **Authorized official:** MRS. KELLY RATOWSKI (DIRECTOR OF PROVIDER AFFAIRS)
- **Authorized official phone:** (313) 874-4806

## Contact information

- **Practice address:** 2799 W GRAND BLVD, DETROIT, MI 48202-2608
- **Practice address phone:** (313) 916-2600
- **Mailing address:** 2799 W GRAND BLVD, DETROIT, MI 48202-2608
- **Mailing address phone:** (313) 916-2600

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 208800000X | Urology Physician | 830190 | MI | Yes |

## Other

- **Enumeration date:** 12/12/2006
- **Last updated:** 08/23/2024