# HENRY FORD MACOMB HOSPITAL CORPORATION

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- **Entity:** Organization
- **Status:** Active
- **Other names:** HENRY FORD MACOMB HOSPITALS
- **Organization subpart:** No

## Provider details

- **NPI number:** 1861539892
- **Authorized official:** MR. KELLY RATOWSKI (DIRECTOR OF PROVIDER AFFAIRS)
- **Authorized official phone:** (313) 876-1305

## Contact information

- **Practice address:** 15855 19 MILE RD, CLINTON TOWNSHIP, MI 48038-3504
- **Practice address phone:** (586) 263-2091
- **Practice address fax:** (586) 228-2672
- **Mailing address:** 43421 GARFIELD RD STE 203, CLINTON TOWNSHIP, MI 48038-1133
- **Mailing address phone:** (586) 263-2622
- **Mailing address fax:** (586) 263-2621

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 204F00000X | Transplant Surgery Physician | — | NULL | — |
| 204F00000X | Transplant Surgery Physician | — | — | — |
| 207RP1001X | Pulmonary Disease Physician | — | NULL | — |
| 207RP1001X | Pulmonary Disease Physician | — | — | — |
| 207V00000X | Obstetrics & Gynecology Physician | — | NULL | Yes |
| 207V00000X | Obstetrics & Gynecology Physician | — | — | Yes |
| 207VX0201X | Gynecologic Oncology Physician | — | NULL | — |
| 207VX0201X | Gynecologic Oncology Physician | — | — | — |
| 208000000X | Pediatrics Physician | — | NULL | — |
| 208000000X | Pediatrics Physician | — | — | — |
| 208600000X | Surgery Physician | — | NULL | — |
| 208600000X | Surgery Physician | — | — | — |
| 2086S0102X | Surgical Critical Care Physician | — | NULL | — |
| 2086S0102X | Surgical Critical Care Physician | — | — | — |
| 2086S0129X | Vascular Surgery Physician | — | NULL | — |
| 2086S0129X | Vascular Surgery Physician | — | — | — |

## Other

- **Enumeration date:** 01/31/2007
- **Last updated:** 11/11/2025