Organization
HENRY FORD HEALTH SYTEMS
Active
Organization subpart
No
Provider details
NPI number
Authorized official
KELLY RATOWSKI (DIRECTOR OF PROVIDER AFFAIRS)
(313) 874-4806
Entity
Organization
Contact information
Practice address
2799 W GRAND BLVD, DETROIT, MI 48202-2608
(313) 916-8078
(313) 916-7214
Mailing address
1 FORD PL STE 2E, DETROIT, MI 48202-3450
(313) 874-4316
(313) 876-1305
Taxonomy
Speciality
Code
Description
License number
State
207LP2900X
Pain Medicine (Anesthesiology) Physician
Primary
—
—
Other
Enumeration date
01/09/2018
Last updated
08/23/2024
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