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Organization

HENRY FORD SEMI MEDICAL GROUP

Active
Other names
HENRY FORD SEMI MEDICAL GROUP
Organization subpart
No

Provider details

NPI number
Authorized official
KIMBERLY CEBALT (DIRECTOR)
(313) 874-6764
Entity
Organization

Contact information

Practice address
11012 E 13 MILE RD, SUITE 212, WARREN, MI 48093-2572
(586) 582-7150
(586) 582-7164
Mailing address
PO BOX 670884, DETROIT, MI 48267-0884

Taxonomy

Speciality
Code
Description
License number
State
207V00000X
Obstetrics & Gynecology Physician
Primary
MI
207VG0400X
Gynecology Physician
MI
207VX0000X
Obstetrics Physician
MI

Other

Enumeration date
08/05/2008
Last updated
04/28/2026
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