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Organization

HENRY FORD HEALTH SYSTEM

Active
Organization subpart
No

Provider details

NPI number
Authorized official
MR. MARK SMITH (SVP, CMO)
(248) 641-6041
Entity
Organization

Contact information

Practice address
2799 W GRAND BLVD, DETROIT, MI 48202-2608
(313) 916-2600
Mailing address
2799 W GRAND BLVD, DETROIT, MI 48202-2608
(313) 916-2600

Taxonomy

Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
830190
MI

Other

Enumeration date
11/15/2006
Last updated
03/06/2024
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