# 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:** 1306002704
- **Authorized official:** KIMBERLY CEBALT (DIRECTOR)
- **Authorized official phone:** (313) 874-6764

## Contact information

- **Practice address:** 11012 E 13 MILE RD, SUITE 212, WARREN, MI 48093-2572
- **Practice address phone:** (586) 582-7150
- **Practice address fax:** (586) 582-7164
- **Mailing address:** PO BOX 670884, DETROIT, MI 48267-0884

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 207V00000X | Obstetrics & Gynecology Physician | — | MI | Yes |
| 207VG0400X | Gynecology Physician | — | MI | — |
| 207VX0000X | Obstetrics Physician | — | MI | — |

## Other

- **Enumeration date:** 08/05/2008
- **Last updated:** 04/28/2026