Organization
HENRY FORD HEALTH SYSTEM
Active
Organization
HENRY FORD HEALTH SYSTEM
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. KELLY RATOWSKI (DIRECTOR OF PROVIDER AFFAIRS)
(248) 703-2003
Entity
Organization
Contact information
Practice address
2799 W GRAND BLVD, DETROIT, MI 48202-2608
(313) 876-8714
Mailing address
2799 W GRAND BLVD, DETROIT, MI 48202-2608
(313) 876-8714
Taxonomy
Speciality
Code
Description
License number
State
207W00000X
Ophthalmology Physician
Primary
830190
MI
Other
Enumeration date
10/24/2006
Last updated
03/06/2024
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