Organization
HENRY FORD HEALTH MACOMB-OAKLAND HOSPITAL
Active
Other names
St. John Oakland Hospital CRNAs
Organization subpart
No
Provider details
NPI number
Authorized official
KIMBERLY CEBALT (DIRECTOR)
(313) 874-6764
Entity
Organization
Contact information
Practice address
27351 DEQUINDRE RD, MADISON HEIGHTS, MI 48071-3487
(248) 967-7082
Mailing address
27351 DEQUINDRE RD, MADISON HEIGHTS, MI 48071-3487
(248) 967-7082
Taxonomy
Speciality
Code
Description
License number
State
367500000X
Certified Registered Nurse Anesthetist
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
430F338250
BSMI
MI
Enumeration date
07/20/2007
Last updated
04/23/2026
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