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Organization

HENRY FORD HEALTH SYSTEM

Active
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Organization

HENRY FORD HEALTH SYSTEM

Active
Other names
Henry Ford Health- Ortho Joint Specialists
Organization subpart
No

Provider details

NPI number
Authorized official
KELLY RATOWSKI (DIRECTOR OF PROVIDER AFFAIRS)
(248) 703-2003
Entity
Organization

Contact information

Practice address
2799 W GRAND BLVD, DETROIT, MI 48202-2608
(313) 916-2600
Mailing address
1 FORD PL STE 3A, DETROIT, MI 48202-3450
(313) 874-6764
(313) 876-1305

Taxonomy

Speciality
Code
Description
License number
State
207X00000X
Orthopaedic Surgery Physician
Primary
207XS0114X
Adult Reconstructive Orthopaedic Surgery Physician
207XX0005X
Sports Medicine (Orthopaedic Surgery) Physician

Other

Enumeration date
08/15/2022
Last updated
03/15/2024
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