Organization
HENRY FORD HEALTH ST. JOHN HOSPITAL
Active
Other names
SJH MultipSpecialty Group, Henry Ford St John Hospital
Organization subpart
No
Provider details
NPI number
Authorized official
KIMBERLY CEBALT (DIRECTOR)
(313) 874-6764
Entity
Organization
Contact information
Practice address
22101 MOROSS RD, DETROIT, MI 48236-2148
(313) 343-4000
Mailing address
PO BOX 670884, DETROIT, MI 48267-0884
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
—
MI
207R00000X
Internal Medicine Physician
Primary
—
MI
207RE0101X
Endocrinology, Diabetes & Metabolism Physician
—
MI
207RH0003X
Hematology & Oncology Physician
—
—
207RR0500X
Rheumatology Physician
—
—
207V00000X
Obstetrics & Gynecology Physician
—
MI
207VM0101X
Maternal & Fetal Medicine Physician
—
MI
208000000X
Pediatrics Physician
—
MI
2086S0120X
Pediatric Surgery Physician
—
MI
208800000X
Urology Physician
—
—
208M00000X
Hospitalist Physician
—
MI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0H208910
BLUE CROSS GROUP
MI
Enumeration date
05/01/2006
Last updated
05/14/2026
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