Organization
HENRY FORD MACOMB HOSPITAL CORPORATION
Active
Other names
HENRY FORD MACOMB FAMILY MEDICINE
Organization subpart
No
Provider details
NPI number
Authorized official
KELLY RATOWSKI (DIRECTOR OF PROVIDER AFFAIRS)
(248) 703-2003
Entity
Organization
Contact information
Practice address
15717 15 MILE RD, CLINTON TWP, MI 48035-2101
(586) 285-3800
(586) 285-3814
Mailing address
15855 19 MILE, CLINTON TOWNSHIP, MI 48038-1133
(586) 263-2900
Taxonomy
Speciality
Code
Description
License number
State
204D00000X
Neuromusculoskeletal Medicine & OMM Physician
—
MI
207PE0005X
Undersea and Hyperbaric Medicine (Emergency Medicine) Physician
—
—
207Q00000X
Family Medicine Physician
Primary
—
MI
207R00000X
Internal Medicine Physician
—
MI
207R00000X
Internal Medicine Physician
—
—
207RG0300X
Geriatric Medicine (Internal Medicine) Physician
—
MI
207RH0003X
Hematology & Oncology Physician
—
—
207RI0200X
Infectious Disease Physician
—
MI
207RI0200X
Infectious Disease Physician
—
—
207T00000X
Neurological Surgery Physician
—
—
208000000X
Pediatrics Physician
—
MI
2086S0122X
Plastic and Reconstructive Surgery Physician
—
—
2086S0129X
Vascular Surgery Physician
—
—
208G00000X
Thoracic Surgery (Cardiothoracic Vascular Surgery) Physician
—
—
Other
Enumeration date
01/29/2007
Last updated
03/06/2024
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