# HENRY FORD HEALTH MACOMB OAKLAND HOSPITAL

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

## Provider details

- **NPI number:** 1083872923
- **Authorized official:** KIMBERLY CEBALT (DIRECTOR)
- **Authorized official phone:** (313) 874-6764

## Contact information

- **Practice address:** 11800 E 12 MILE RD, WARREN, MI 48093-3472
- **Practice address phone:** (583) 573-5000
- **Mailing address:** PO BOX 670884, DETROIT, MI 48267-0884
- **Mailing address phone:** (800) 999-5829
- **Mailing address fax:** (248) 641-4840

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 207P00000X | Emergency Medicine Physician | — | NULL | — |
| 207P00000X | Emergency Medicine Physician | — | — | — |
| 207R00000X | Internal Medicine Physician | — | NULL | Yes |
| 207R00000X | Internal Medicine Physician | — | — | Yes |
| 207RC0000X | Cardiovascular Disease Physician | — | NULL | — |
| 207RC0000X | Cardiovascular Disease Physician | — | — | — |
| 207RH0003X | Hematology & Oncology Physician | — | NULL | — |
| 207RH0003X | Hematology & Oncology Physician | — | — | — |
| 207RI0011X | Interventional Cardiology Physician | — | NULL | — |
| 207RI0011X | Interventional Cardiology Physician | — | — | — |

## Other

- **Enumeration date:** 05/28/2008
- **Last updated:** 07/16/2026