| Henry Ford Health System | |
|
5111 Auto Club Dr Suite 112 Dearborn MI 48126-2749 | |
| (313) 317-2000 | |
| (313) 317-2090 |
| Full Name | Henry Ford Health System |
|---|---|
| Speciality | Psychiatric Unit |
| Location | 5111 Auto Club Dr, Dearborn, Michigan |
| Authorized Official Name and Position | Judith Malinowski (CLINICAL MANAGER) |
| Authorized Official Contact | 31331720002 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Henry Ford Health System 5111 Auto Club Dr Suite 112 Dearborn MI 48126-2749 Ph: (313) 317-2000 | Henry Ford Health System 5111 Auto Club Dr Suite 112 Dearborn MI 48126-2749 Ph: (313) 317-2000 |
| NPI Number | 1477805620 |
|---|---|
| Provider Enumeration Date | 10/12/2012 |
| Last Update Date | 10/12/2012 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1477805620 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 273R00000X | Psychiatric Unit | 61301007362 (Michigan) | Primary |
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