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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