Organization
HENRY FORD PHYSICIAN PARTNERS
Active
Organization
HENRY FORD PHYSICIAN PARTNERS
Active
Other names
Henry Ford Physician Partners - PCS
Organization subpart
No
Provider details
NPI number
Authorized official
KELLY RATOWSKI (DIR-OFFICE OF PROVIDER AFFAIRS)
(248) 703-2003
Entity
Organization
Contact information
Practice address
20200 OUTER DR, DEARBORN, MI 48124-2634
(313) 624-8417
(313) 357-7074
Mailing address
1 FORD PL STE 3A, DETROIT, MI 48202-3450
(313) 874-6764
(313) 876-1305
Taxonomy
Speciality
Code
Description
License number
State
207RA0001X
Advanced Heart Failure and Transplant Cardiology Physician
—
—
207RC0000X
Cardiovascular Disease Physician
Primary
—
—
207RC0001X
Clinical Cardiac Electrophysiology Physician
—
—
207RI0011X
Interventional Cardiology Physician
—
—
2080P0202X
Pediatric Cardiology Physician
—
—
Other
Enumeration date
12/06/2023
Last updated
09/20/2024
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