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Organization
HENRY FORD SEMI MEDICAL GROUP
Active
Organization
HENRY FORD SEMI MEDICAL GROUP
Active
Other names
HENRY FORD SEMI MEDICAL GROUP
Organization subpart
No
Provider details
NPI number
Authorized official
KIMBERLY CEBALT (DIRECTOR)
(313) 874-6764
Entity
Organization
Contact information
Practice address
26850 PROVIDENCE PKWY, NOVI, MI 48374-1213
(248) 680-8000
(248) 292-3852
Mailing address
PO BOX 670884, DETROIT, MI 48267-0884
Taxonomy
Speciality
Code
Description
License number
State
207RE0101X
Endocrinology, Diabetes & Metabolism Physician
Primary
—
MI
207V00000X
Obstetrics & Gynecology Physician
—
NULL
207V00000X
Obstetrics & Gynecology Physician
—
—
208000000X
Pediatrics Physician
—
MI
208600000X
Surgery Physician
—
MI
2086S0122X
Plastic and Reconstructive Surgery Physician
—
MI
208C00000X
Colon & Rectal Surgery Physician
—
NULL
208C00000X
Colon & Rectal Surgery Physician
—
—
Other
Enumeration date
05/15/2007
Last updated
04/28/2026
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