Organization
HENRY FORD PHYSICIAN PARTNERS
Active
Other names
HENRY FORD PHYSICIAN PARTNERS Great Lakes Office Group
Organization subpart
No
Provider details
NPI number
Authorized official
KIMBERLY CEBALT (DIRECTOR)
(313) 874-6764
Entity
Organization
Contact information
Practice address
22250 PROVIDENCE DR STE 204, SOUTHFIELD, MI 48075-6210
(248) 662-4333
Mailing address
PO BOX 670884, DETROIT, MI 48267-0884
(800) 999-5829
(248) 641-4840
Taxonomy
Speciality
Code
Description
License number
State
208600000X
Surgery Physician
Primary
—
—
2086X0206X
Surgical Oncology Physician
—
—
Other
Enumeration date
07/23/2026
Last updated
07/23/2026
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