Organization
HENRY FORD HEATH SYSTEM
Active
Organization subpart
No
Provider details
NPI number
Authorized official
KELLY RATOWSKI (DIRECTOR OF PROVIDER AFFAIRS)
(313) 874-4806
Entity
Organization
Contact information
Practice address
2799 W GRAND BLVD, DETROIT, MI 48202-2608
(313) 916-2600
Mailing address
2799 W GRAND BLVD, DETROIT, MI 48202-2608
(313) 916-2600
Taxonomy
Speciality
Code
Description
License number
State
2085R0204X
Vascular & Interventional Radiology Physician
Primary
830190
MI
Other
Enumeration date
06/04/2007
Last updated
08/23/2024
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