Organization
HENRY FORD HEALTH PROVIDENCE HOSPITAL
Active
Organization
HENRY FORD HEALTH PROVIDENCE HOSPITAL
Active
Other names
HENRY FORD PROVIDENCE HOSPITAL
Organization subpart
No
Provider details
NPI number
Authorized official
KIMBERLY CEBALT (DIRECTOR)
(313) 874-6764
Entity
Organization
Contact information
Practice address
16001 W 9 MILE RD, SOUTHFIELD, MI 48075-4818
(248) 849-3205
Mailing address
PO BOX 670884, DETROIT, MI 48267-0884
(800) 999-5829
(248) 641-4840
Taxonomy
Speciality
Code
Description
License number
State
367500000X
Certified Registered Nurse Anesthetist
Primary
—
—
Other
Enumeration date
06/02/2006
Last updated
07/16/2026
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