Organization
HENRY FORD HEALTH SYSTEM
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MS. QUANTRESSA EDWARDS (MEDICAL STAFF COORDINATOR)
(313) 874-3081
Entity
Organization
Contact information
Practice address
5777 W MAPLE RD, WEST BLOOMFIELD, MI 48322-2267
(248) 325-1000
Mailing address
2799 W GRAND BLVD, DETROIT, MI 48202-2608
(248) 910-6400
Taxonomy
Speciality
Code
Description
License number
State
282NC0060X
Critical Access Hospital
Primary
4704216583
MI
Other
Enumeration date
07/15/2011
Last updated
07/15/2011
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