# HENRY FORD MACOMB HOSPITAL CORPORATION

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- **Entity:** Organization
- **Status:** Active
- **Other names:** Henry Ford Macomb Health Centers - Bruce Twp./Chesterfield/Fraser
- **Organization subpart:** No

## Provider details

- **NPI number:** 1568508059
- **Authorized official:** MR. KELLY RATOWSKI (DIRECTOR OF PROVIDER AFFAIRS)
- **Authorized official phone:** (248) 703-2003

## Contact information

- **Practice address:** 80650 VAN DYKE RD, BRUCE, MI 48065
- **Practice address phone:** (810) 798-6430
- **Practice address fax:** (810) 798-6436
- **Mailing address:** 43421 GARFIELD RD, STE 203, CLINTON TWP, MI 48038-1133
- **Mailing address phone:** (586) 263-2622
- **Mailing address fax:** (586) 263-2621

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 207P00000X | Emergency Medicine Physician | — | NULL | — |
| 207P00000X | Emergency Medicine Physician | — | — | — |
| 207Q00000X | Family Medicine Physician | — | NULL | — |
| 207Q00000X | Family Medicine Physician | — | — | — |
| 207R00000X | Internal Medicine Physician | — | NULL | — |
| 207R00000X | Internal Medicine Physician | — | — | — |
| 2083P0011X | Undersea and Hyperbaric Medicine (Preventive Medicine) Physician | — | NULL | — |
| 2083P0011X | Undersea and Hyperbaric Medicine (Preventive Medicine) Physician | — | — | — |
| 261QU0200X | Urgent Care Clinic/Center | — | NULL | Yes |

## Other

- **Enumeration date:** 01/30/2007
- **Last updated:** 03/06/2024