# HENRY FORD SEMI MEDICAL GROUP

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

## Provider details

- **NPI number:** 1851732226
- **Authorized official:** KIMBERLY CEBALT (DIRECTOR OF PROVIDER AFFAIRS)
- **Authorized official phone:** (313) 874-6764

## Contact information

- **Practice address:** 21000 E 12 MILE RD, SUITE 105, SAINT CLAIR SHORES, MI 48081-1116
- **Practice address phone:** (586) 498-3606
- **Practice address fax:** (586) 498-3601
- **Mailing address:** PO BOX 670884, DETROIT, MI 48267-0884
- **Mailing address phone:** (800) 999-5829

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 207Q00000X | Family Medicine Physician | — | MI | — |
| 207R00000X | Internal Medicine Physician | — | MI | — |
| 208000000X | Pediatrics Physician | — | MI | — |
| 261QU0200X | Urgent Care Clinic/Center | — | MI | Yes |
| 363A00000X | Physician Assistant | — | MI | — |

## Other

- **Enumeration date:** 07/12/2013
- **Last updated:** 04/28/2026