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Organization
HENRY FORD HEALTH SYSTEM -FREE STANDING CLINIC
Active
Organization
HENRY FORD HEALTH SYSTEM -FREE STANDING CLINIC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. KELLY RATOWSKI (DIRECTOR PROVIDER AFFAIRS)
(313) 874-4806
Entity
Organization
Contact information
Practice address
2799 W GRAND BLVD, DETROIT, MI 48202-2608
(313) 916-2600
Mailing address
2799 W GRAND BLVD, DETROIT, MI 48202-2608
(313) 916-2600
Taxonomy
Speciality
Code
Description
License number
State
207N00000X
Dermatology Physician
—
—
207RA0201X
Allergy & Immunology (Internal Medicine) Physician
—
—
207RC0000X
Cardiovascular Disease Physician
—
—
207RE0101X
Endocrinology, Diabetes & Metabolism Physician
—
—
207RG0100X
Gastroenterology Physician
—
—
207RH0003X
Hematology & Oncology Physician
Primary
—
—
207RN0300X
Nephrology Physician
—
—
207RP1001X
Pulmonary Disease Physician
—
—
207RR0500X
Rheumatology Physician
—
—
207RS0012X
Sleep Medicine (Internal Medicine) Physician
—
—
2084N0400X
Neurology Physician
—
—
2085R0001X
Radiation Oncology Physician
—
—
Other
Enumeration date
07/14/2017
Last updated
08/23/2024
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