Organization
HENRY FORD MEDICAL CENTER
Active
Organization subpart
No
Provider details
NPI number
Authorized official
CHRIS NEWMAN (SUPERVISOR/CNNP)
(313) 916-0466
Entity
Organization
Contact information
Practice address
2799 W GRAND BLVD, DETROIT, MI 48202-2608
(313) 916-0466
Mailing address
2799 W GRAND BLVD, DETROIT, MI 48202-2608
(313) 916-0466
Taxonomy
Speciality
Code
Description
License number
State
363LN0000X
Neonatal Nurse Practitioner
Primary
—
—
Other
Enumeration date
09/27/2007
Last updated
09/27/2007
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