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Organization
HENRY FORD HOSPITAL
Active
Organization
HENRY FORD HOSPITAL
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MS. MARY K. MUNLEY NP (ADVANCED PRACTICE PROVIDER)
(313) 693-0415
Entity
Organization
Contact information
Practice address
4461 PARNELL ST, CLARKSTON, MI 48346-4052
(248) 343-9892
Mailing address
2799 W GRAND BLVD, DETROIT, MI 48202-2608
(313) 916-2600
Taxonomy
Speciality
Code
Description
License number
State
282N00000X
General Acute Care Hospital
Primary
4704188736
MI
Other
Enumeration date
01/10/2012
Last updated
01/10/2012
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