Organization
HENRY FORD MEDICAL GROUP GENESYS
Active
Other names
Ascension Genesys Ambulatory Imaging
Organization subpart
No
Provider details
NPI number
Authorized official
KIMBERLY CEBALT (DIRECTOR)
(313) 874-6764
Entity
Organization
Contact information
Practice address
1096 S BELSAY RD STE J, BURTON, MI 48509-1948
(810) 715-0803
(810) 715-0824
Mailing address
PO BOX 670884, DETROIT, MI 48267-0884
Taxonomy
Speciality
Code
Description
License number
State
2085R0202X
Diagnostic Radiology Physician
Primary
—
—
Other
Enumeration date
11/13/2018
Last updated
04/29/2026
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