Organization
HENRY FORD MEDICAL GROUP GENESYS
Active
Organization subpart
No
Provider details
NPI number
Authorized official
KIMBERLY CEBALT (MANAGER)
(313) 874-6764
Entity
Organization
Contact information
Practice address
3495 S CENTER RD, BURTON, MI 48519-1455
(810) 424-2201
Mailing address
PO BOX 670884, DETROIT, MI 48267-0884
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
—
—
207R00000X
Internal Medicine Physician
—
—
208000000X
Pediatrics Physician
—
—
Other
Enumeration date
09/13/2018
Last updated
04/29/2026
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