| Henry Ford Macomb Hospital - Mt. Clemens Campus | |
|
215 North Ave Mount Clemens MI 48043-1716 | |
| (586) 466-9300 | |
| Not Available |
| Full Name | Henry Ford Macomb Hospital - Mt. Clemens Campus |
|---|---|
| Speciality | Psychiatry & Neurology - Neurology |
| Location | 215 North Ave, Mount Clemens, Michigan |
| Authorized Official Name and Position | Kelly Ratowski (DIRECTOR OF PROVIDER AFFAIRS) |
| Authorized Official Contact | 2487032003 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Henry Ford Macomb Hospital - Mt. Clemens Campus 215 North Ave Mount Clemens MI 48043-1716 Ph: () - | Henry Ford Macomb Hospital - Mt. Clemens Campus 215 North Ave Mount Clemens MI 48043-1716 Ph: (586) 466-9300 |
| NPI Number | 1578607594 |
|---|---|
| Provider Enumeration Date | 02/16/2007 |
| Last Update Date | 03/06/2024 |
| Certification Date | 03/06/2024 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1578607594 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 2084N0400X | Psychiatry & Neurology - Neurology | (Michigan) | Primary |
| 2084P0805X | Psychiatry & Neurology - Geriatric Psychiatry | (Michigan) | Secondary |
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