Organization
HENRY FORD HEALTH GENESYS HOSPITAL
Active
Other names
Henry Ford Radiology and imaging
Organization subpart
No
Provider details
NPI number
Authorized official
KIMBERLY CEBALT (MANAGER OF PROVIDER AFFAIRS)
(313) 874-6764
Entity
Organization
Contact information
Practice address
600 HEALTH PARK BLVD STE B, GRAND BLANC, MI 48439-2558
(810) 606-1601
(810) 249-4316
Mailing address
1 FORD PL STE 3A, DETROIT, MI 48202-3450
(313) 874-6764
(313) 874-4806
Taxonomy
Speciality
Code
Description
License number
State
2085R0202X
Diagnostic Radiology Physician
Primary
—
—
2085R0203X
Therapeutic Radiology Physician
—
—
Other
Enumeration date
09/15/2025
Last updated
09/17/2025
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