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) 916-2600
Mailing address
2799 W GRAND BLVD, DETROIT, MI 48202-2608
(313) 916-2600
Taxonomy
Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
Primary
830190
MI
207PE0004X
Emergency Medical Services (Emergency Medicine) Physician
—
—
207PH0002X
Hospice and Palliative Medicine (Emergency Medicine) Physician
—
—
Other
Enumeration date
11/02/2006
Last updated
10/03/2023
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