# HENRY FORD HEALTH SYSTEM

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- **Entity:** Organization
- **Status:** Active
- **Other names:** Henry Ford - Sleep Medicine
- **Organization subpart:** No

## Provider details

- **NPI number:** 1982363602
- **Authorized official:** KIMBERLY CEBALT (LEAD ENROLLMENT SPECIALIST)
- **Authorized official phone:** (313) 874-6764

## Contact information

- **Practice address:** 2799 W GRAND BLVD, DETROIT, MI 48202-2608
- **Practice address phone:** (800) 653-6568
- **Practice address fax:** (313) 876-1305
- **Mailing address:** 1 FORD PL STE 2E, DETROIT, MI 48202-3450
- **Mailing address phone:** (313) 876-1305
- **Mailing address fax:** (313) 876-1305

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 207RS0012X | Sleep Medicine (Internal Medicine) Physician | — | — | Yes |

## Other

- **Enumeration date:** 12/09/2021
- **Last updated:** 12/17/2021