# HENRY FORD SEMI MEDICAL GROUP

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- **Entity:** Organization
- **Status:** Active
- **Other names:** HENRY FORD SEMI MEDICAL GROUP
- **Organization subpart:** No

## Provider details

- **NPI number:** 1114133485
- **Authorized official:** KIMBERLY CEBALT (DIRECTOR)
- **Authorized official phone:** (313) 874-6764

## Contact information

- **Practice address:** 26850 PROVIDENCE PKWY, NOVI, MI 48374-1213
- **Practice address phone:** (248) 680-8000
- **Practice address fax:** (248) 292-3852
- **Mailing address:** PO BOX 670884, DETROIT, MI 48267-0884

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 207RE0101X | Endocrinology, Diabetes & Metabolism Physician | — | MI | Yes |
| 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