Organization
HENRY FORD MACOMB HOSPITAL CORPORATION
Active
Organization
HENRY FORD MACOMB HOSPITAL CORPORATION
Active
Organization subpart
No
Provider details
NPI number
Authorized official
KELLY SSN RATOWSKI (DIRECTOR OF PROVIDER AFFAIRS)
(313) 874-6764
Entity
Organization
Contact information
Practice address
43411 GARFIELD RD, CLINTON TOWNSHIP, MI 48038-1152
(586) 226-7007
Mailing address
215 NORTH AVE, MOUNT CLEMENS, MI 48043-1716
(586) 226-7007
Taxonomy
Speciality
Code
Description
License number
State
2084N0400X
Neurology Physician
—
MI
2084P0800X
Psychiatry Physician
Primary
—
MI
2084P0804X
Child & Adolescent Psychiatry Physician
—
MI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
750910634
BLUE CROSS GROUP NUMBER
MI
Enumeration date
02/16/2007
Last updated
06/14/2024
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