# HENRY FORD PHYSICIAN PARTNERS

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

## Provider details

- **NPI number:** 1427703602
- **Authorized official:** MRS. KELLY RATOWSKI (DIR-OFFICE OF PROVIDER AFFAIRS)
- **Authorized official phone:** (248) 325-0283

## Contact information

- **Practice address:** 133 S MAIN ST, MOUNT CLEMENS, MI 48043-2308
- **Practice address phone:** (586) 468-1600
- **Practice address fax:** (586) 465-0329
- **Mailing address:** 1 FORD PL, DETROIT, MI 48202-3450
- **Mailing address phone:** (313) 874-4806

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 207Q00000X | Family Medicine Physician | — | NULL | — |
| 207Q00000X | Family Medicine Physician | — | — | — |
| 207R00000X | Internal Medicine Physician | — | NULL | Yes |
| 207R00000X | Internal Medicine Physician | — | — | Yes |
| 363A00000X | Physician Assistant | — | NULL | — |
| 363A00000X | Physician Assistant | — | — | — |
| 363L00000X | Nurse Practitioner | — | NULL | — |
| 363L00000X | Nurse Practitioner | — | — | — |

## Other

- **Enumeration date:** 02/16/2022
- **Last updated:** 12/09/2022
