# HENRY FORD HEALTH SYSTEM

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- **Entity:** Organization
- **Status:** Active
- **Other names:** Henry Ford Medical Center
- **Organization subpart:** No

## Provider details

- **NPI number:** 1669547774
- **Authorized official:** MRS. MAGDALENA MARIA MAXEY N.P. MSN APRN-C (CARDIOLOGY NURSE PRACTITIONER)
- **Authorized official phone:** (734) 523-8657

## Contact information

- **Practice address:** 29200 SCHOOLCRAFT RD, OFFICE 2264, LIVONIA, MI 48150-2228
- **Practice address phone:** (734) 523-8657
- **Practice address fax:** (734) 523-8667
- **Mailing address:** 8967 LAKEVIEW DR, WHITE LAKE, MI 48386-4143
- **Mailing address phone:** (734) 523-8657
- **Mailing address fax:** (734) 523-8667

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 363LA2200X | Adult Health Nurse Practitioner | 4704113625 | MI | Yes |

## Other

- **Enumeration date:** 11/22/2006
- **Last updated:** 08/22/2020
