Organization
HENRY FORD HEALTH MACOMB OAKLAND HOSPITAL
Active
Organization
HENRY FORD HEALTH MACOMB OAKLAND HOSPITAL
Active
Organization subpart
No
Provider details
NPI number
Authorized official
KIMBERLY CEBALT (DIRECTOR PROVIDER AFFAIRS)
(313) 874-6764
Entity
Organization
Contact information
Practice address
11800 E 12 MILE RD, WARREN, MI 48093-3472
(586) 573-5000
Mailing address
PO BOX 670884, DETROIT, MI 48267-0884
(800) 999-5829
(248) 641-4840
Taxonomy
Speciality
Code
Description
License number
State
207RC0000X
Cardiovascular Disease Physician
Primary
—
—
207RI0011X
Interventional Cardiology Physician
—
—
2080P0202X
Pediatric Cardiology Physician
—
—
2086S0129X
Vascular Surgery Physician
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0E06123
BLUE CROSS
—
05
—
3262788
—
MI
Enumeration date
05/20/2008
Last updated
07/16/2026
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