Organization
HENRY FORD HEALTH SYSTEM
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. MARK L. KELLEY M.D. (CEO, HENRY FORD MEDICAL GROUP)
(313) 876-8701
Entity
Organization
Contact information
Practice address
2799 W GRAND BLVD, K11, DETROIT, MI 48202-2608
(313) 916-2241
(313) 916-7139
Mailing address
2799 W GRAND BLVD, K11, DETROIT, MI 48202-2608
(313) 916-2241
(313) 916-7139
Taxonomy
Speciality
Code
Description
License number
State
282N00000X
General Acute Care Hospital
Primary
4301067809
MI
Other
Enumeration date
02/12/2007
Last updated
08/22/2020
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