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Organization

HENRY FORD HEALTH SYSTEM

Active
Parent organization
HENRY FORD HEALTH SYSTEM
Other names
HENRY FORD HEALTH PRODUCTS
Organization subpart
Yes

Provider details

NPI number
Legal business name
HENRY FORD HEALTH SYSTEM
Authorized official
JOHN POLANSKI (VICE PRESIDENT)
(248) 723-0211
Entity
Organization

Contact information

Practice address
39630 W 14 MILE RD, WALLED LAKE, MI 48390-3909
(248) 960-1989
(248) 960-3194
Mailing address
21651 MELROSE AVE, SOUTHFIELD, MI 48075-7906
(248) 353-2468

Taxonomy

Speciality
Code
Description
License number
State
332BX2000X
Oxygen Equipment & Supplies (DME)
Primary

Other

Enumeration date
10/29/2010
Last updated
07/18/2011
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