# HENRY FORD WEST BLOOMFIELD PHYSICIANS

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

## Provider details

- **NPI number:** 1215333976
- **Authorized official:** BRIAN GAMBLE (CFO)
- **Authorized official phone:** (248) 325-1000

## Contact information

- **Practice address:** 6777 W MAPLE RD, WEST BLOOMFIELD, MI 48322-3013
- **Practice address phone:** (248) 325-1000
- **Mailing address:** PO BOX 674852, DETROIT, MI 48267-4852

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 208D00000X | General Practice Physician | — | NULL | Yes |
| 208D00000X | General Practice Physician | — | — | Yes |

## Other

- **Enumeration date:** 11/07/2014
- **Last updated:** 11/11/2014