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 OF PROVIDER AFFAIRS)
(313) 874-6764
Entity
Organization
Contact information
Practice address
21000 E 12 MILE RD, SUITE 102, SAINT CLAIR SHORES, MI 48081-1116
(586) 447-5100
(586) 447-5090
Mailing address
PO BOX 670884, DETROIT, MI 48267-0884
(800) 999-5829
Taxonomy
Speciality
Code
Description
License number
State
207V00000X
Obstetrics & Gynecology Physician
Primary
—
—
207VG0400X
Gynecology Physician
—
—
207VX0000X
Obstetrics Physician
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0E01168
BCBSM GROUP NUMBER
MI
01
—
0M92780
MEDICARE GROUP NUMBER
MI
01
—
CG4683
RAILROAD MEDICARE GROUP NUMBER
MI
Enumeration date
11/16/2006
Last updated
04/28/2026
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