Organization
HENRY FORD HEALTH SYSTEM
Active
Parent organization
HENRY FORD HEALTH SYSTEM
Other names
Henry Ford Cottage Hospital Anesthesia
Organization subpart
Yes
Provider details
NPI number
Legal business name
HENRY FORD HEALTH SYSTEM
Authorized official
MARK SMITH (SVP. CMO)
(517) 205-6407
Entity
Organization
Contact information
Practice address
159 KERCHEVAL AVE, GROSSE POINTE FARMS, MI 48236-3610
(313) 640-1000
Mailing address
159 KERCHEVAL AVE, GROSSE POINTE FARMS, MI 48236-3610
(313) 640-1000
Taxonomy
Speciality
Code
Description
License number
State
207L00000X
Anesthesiology Physician
Primary
—
—
367500000X
Certified Registered Nurse Anesthetist
—
—
Other
Enumeration date
10/24/2007
Last updated
03/06/2024
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