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Organization

HENRY FORD SEMI MEDICAL GROUP

Active
Other names
HENRY FORD SEMI MEDICAL GROUP
Organization subpart
No

Provider details

NPI number
Authorized official
KIMBERLY CEBALT (DIRECTOR)
(313) 874-6764
Entity
Organization

Contact information

Practice address
26850 PROVIDENCE PKWY, NOVI, MI 48374-1213
(248) 680-8000
(248) 292-3852
Mailing address
PO BOX 670884, DETROIT, MI 48267-0884

Taxonomy

Speciality
Code
Description
License number
State
207RE0101X
Endocrinology, Diabetes & Metabolism Physician
Primary
MI
207V00000X
Obstetrics & Gynecology Physician
208000000X
Pediatrics Physician
MI
208600000X
Surgery Physician
MI
2086S0122X
Plastic and Reconstructive Surgery Physician
MI
208C00000X
Colon & Rectal Surgery Physician

Other

Enumeration date
05/15/2007
Last updated
04/28/2026
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