Organization
HENRY FORD HEALTH ST. JOHN HOSPITAL
Active
Other names
St John North Shores Hospital
Organization subpart
No
Provider details
NPI number
Authorized official
KIMBERLY CEBALT (DIRECTOR)
(313) 874-6764
Entity
Organization
Contact information
Practice address
26755 BALLARD ST, HARRISON TOWNSHIP, MI 48045-2419
(584) 655-5501
Mailing address
28000 DEQUINDRE RD, WARREN, MI 48092-2468
(586) 753-0275
Taxonomy
Speciality
Code
Description
License number
State
213E00000X
Podiatrist
Primary
—
—
213ES0103X
Foot & Ankle Surgery Podiatrist
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0E0110
BLUE CROSS
—
Enumeration date
05/28/2008
Last updated
04/12/2026
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