Organization
HENRY FORD PHYSICIAN PARTNERS
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. KELLY RATOWSKI (DIR-OFFICE OF PROVIDER AFFAIRS)
(248) 325-0283
Entity
Organization
Contact information
Practice address
133 S MAIN ST, MOUNT CLEMENS, MI 48043-2308
(586) 468-1600
(586) 465-0329
Mailing address
1 FORD PL, DETROIT, MI 48202-3450
(313) 874-4806
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
—
—
207R00000X
Internal Medicine Physician
Primary
—
—
363A00000X
Physician Assistant
—
—
363L00000X
Nurse Practitioner
—
—
Other
Enumeration date
02/16/2022
Last updated
12/09/2022
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