Organization
HENRY FORD SEMI MEDICAL GROUP
Active
Other names
HENRY FORD SEMI MEDICAL GROUP
Organization subpart
No
Provider details
NPI number
Authorized official
KIMBERLY CEBALT (DIRECTOR)
(313) 874-6767
Entity
Organization
Contact information
Practice address
22201 MOROSS RD, DETROIT, MI 48236-2169
(248) 680-8205
(248) 680-8205
Mailing address
PO BOX 670884, DETROIT, MI 48267-0884
(800) 999-5829
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
—
—
204E00000X
Oral & Maxillofacial Surgery (D.M.D.)
—
—
207RE0101X
Endocrinology, Diabetes & Metabolism Physician
—
MI
207RX0202X
Medical Oncology Physician
—
—
207V00000X
Obstetrics & Gynecology Physician
—
MI
207VX0201X
Gynecologic Oncology Physician
—
MI
2084N0400X
Neurology Physician
—
MI
208600000X
Surgery Physician
Primary
—
MI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0H231320
BLUE CROSS GROUP
MI
Enumeration date
06/12/2007
Last updated
04/28/2026
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