Organization
HENRY FORD MACOMB HOSPITAL CORPORATION
Active
Other names
Henry Ford Macomb Health Centers - Bruce Twp./Chesterfield/Fraser
Organization subpart
No
Provider details
NPI number
Authorized official
MR. KELLY RATOWSKI (DIRECTOR OF PROVIDER AFFAIRS)
(248) 703-2003
Entity
Organization
Contact information
Practice address
80650 VAN DYKE RD, BRUCE, MI 48065
(810) 798-6430
(810) 798-6436
Mailing address
43421 GARFIELD RD, STE 203, CLINTON TWP, MI 48038-1133
(586) 263-2622
(586) 263-2621
Taxonomy
Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
—
—
207Q00000X
Family Medicine Physician
—
—
207R00000X
Internal Medicine Physician
—
—
2083P0011X
Undersea and Hyperbaric Medicine (Preventive Medicine) Physician
—
—
261QU0200X
Urgent Care Clinic/Center
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
010E063590
BC GROUP NUMBER
MI
01
—
080E063590
BC GROUP NUMBER
MI
01
—
700E063590
BC GROUP NUMBER
MI
Enumeration date
01/30/2007
Last updated
03/06/2024
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