Organization
HENRY FORD HEALTH SYSTEM
Active
Other names
Henry Ford Medical Center - Royal Oak
Organization subpart
No
Provider details
NPI number
Authorized official
KELLY RATOWSKI (DIRECTOR OF PROVIDER AFFAIRS)
(248) 703-2003
Entity
Organization
Contact information
Practice address
110 E 2ND ST, ROYAL OAK, MI 48067-2694
(248) 546-2110
(313) 876-1305
Mailing address
110 E 2ND ST, ROYAL OAK, MI 48067-2694
(248) 546-2110
(313) 876-1305
Taxonomy
Speciality
Code
Description
License number
State
207W00000X
Ophthalmology Physician
—
—
207X00000X
Orthopaedic Surgery Physician
—
—
208600000X
Surgery Physician
Primary
—
—
208800000X
Urology Physician
—
—
261QA1903X
Ambulatory Surgical Clinic/Center
—
—
363A00000X
Physician Assistant
—
—
363L00000X
Nurse Practitioner
—
—
Other
Enumeration date
07/28/2021
Last updated
03/15/2024
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