Organization
HENRY FORD WEST BLOOMFIELD PHYSICIANS
Active
Organization subpart
No
Provider details
NPI number
Authorized official
BRIAN GAMBLE (CFO)
(248) 325-1000
Entity
Organization
Contact information
Practice address
6777 W MAPLE RD, WEST BLOOMFIELD, MI 48322-3013
(248) 325-1000
Mailing address
PO BOX 674852, DETROIT, MI 48267-4852
Taxonomy
Speciality
Code
Description
License number
State
208D00000X
General Practice Physician
Primary
—
—
Other
Enumeration date
11/07/2014
Last updated
11/11/2014
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