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Organization

HENRY FORD HEALTH MACOMB-OAKLAND HOSPITAL

Active
Other names
HENRY FORD WARREN HOSPITAL
Organization subpart
No

Provider details

NPI number
Authorized official
KIMBERLY CEBALT (MANAGER OF PROVIDER AFFAIRS)
(313) 874-6764
Entity
Organization

Contact information

Practice address
11800 E 12 MILE RD, WARREN, MI 48093-3472
(586) 573-5000
Mailing address
3195 SOLUTIONS CENTER BOX 773195, CHICAGO, IL 60677-0001
(248) 680-8000

Taxonomy

Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
207R00000X
Internal Medicine Physician
207RC0000X
Cardiovascular Disease Physician
207RG0300X
Geriatric Medicine (Internal Medicine) Physician
207RP1001X
Pulmonary Disease Physician
207V00000X
Obstetrics & Gynecology Physician
207VM0101X
Maternal & Fetal Medicine Physician
207VX0000X
Obstetrics Physician
207W00000X
Ophthalmology Physician
208000000X
Pediatrics Physician
2080A0000X
Pediatric Adolescent Medicine Physician
2080N0001X
Neonatal-Perinatal Medicine Physician
208600000X
Surgery Physician
2086S0129X
Vascular Surgery Physician
208G00000X
Thoracic Surgery (Cardiothoracic Vascular Surgery) Physician

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
700H201530
BCBSM GROUP
MI
Enumeration date
05/30/2006
Last updated
09/23/2025
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