Organization
HENRY FORD MACOMB HOSPITAL CORPORATION
Active
Organization subpart
No
Provider details
NPI number
Authorized official
KELLY RATOWSKI (DIRECTOR OF PROVIDER AFFAIRS)
(313) 874-4806
Entity
Organization
Contact information
Practice address
15855 19 MILE RD, CLINTON TOWNSHIP, MI 48038-3504
(586) 263-2300
Mailing address
15855 19 MILE RD, CLINTON TOWNSHIP, MI 48038-3504
(586) 263-2300
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
—
MI
363LN0000X
Neonatal Nurse Practitioner
Primary
—
—
367500000X
Certified Registered Nurse Anesthetist
—
—
Other
Enumeration date
10/17/2014
Last updated
04/28/2026
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