Organization
HENRY FORD HEALTH SYSTEM
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MS. TRENIECE ELLIS (CPHT)
(248) 799-9941
Entity
Organization
Contact information
Practice address
7800 W OUTER DR, DETROIT, MI 48235-3461
(313) 653-2039
(313) 255-5091
Mailing address
27232 SHIAWASSEE RD, SOUTHFIELD, MI 48034-3565
Taxonomy
Speciality
Code
Description
License number
State
261Q00000X
Clinic/Center
Primary
—
—
Other
Enumeration date
02/06/2007
Last updated
08/22/2020
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