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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
11012 E 13 MILE RD, SUITE 212, WARREN, MI 48093-2572
(586) 582-7150
(586) 582-7164
Mailing address
PO BOX 670884, DETROIT, MI 48267-0884
Taxonomy
Speciality
Code
Description
License number
State
207V00000X
Obstetrics & Gynecology Physician
Primary
—
MI
207VG0400X
Gynecology Physician
—
MI
207VX0000X
Obstetrics Physician
—
MI
Other
Enumeration date
08/05/2008
Last updated
04/28/2026
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