Henry Ford Health System | |
2799 W Grand Blvd Detroit MI 48202-2608 | |
(313) 916-2600 | |
Not Available |
Full Name | Henry Ford Health System |
---|---|
Speciality | Psychiatry & Neurology - Psychiatry |
Location | 2799 W Grand Blvd, Detroit, Michigan |
Authorized Official Name and Position | Kelly Ratowski (DIRECTOR OF PROVIDER AFFAIRS) |
Authorized Official Contact | 3138744806 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
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Henry Ford Health System 2799 W Grand Blvd Detroit MI 48202-2608 Ph: (313) 916-2600 | Henry Ford Health System 2799 W Grand Blvd Detroit MI 48202-2608 Ph: (313) 916-2600 |
NPI Number | 1356410237 |
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Provider Enumeration Date | 11/07/2006 |
Last Update Date | 08/23/2024 |
Certification Date | 08/23/2024 |
Identifier | Type | State | Issuer |
---|---|---|---|
1356410237 | NPI | - | NPPES |
750910555 | Other | MI | PSY OPC CLINTON OAKS |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
2084P0800X | Psychiatry & Neurology - Psychiatry | 830190 (Michigan) | Primary |
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