| Henry Ford Macomb Hospital Corporation | |
|
43411 Garfield Rd Clinton Township MI 48038-1152 | |
| (586) 226-7007 | |
| Not Available |
| Full Name | Henry Ford Macomb Hospital Corporation |
|---|---|
| Speciality | Psychologist |
| Location | 43411 Garfield Rd, Clinton Township, 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 Corporation 215 North Ave Mount Clemens MI 48043-1716 Ph: (586) 226-7007 | Henry Ford Macomb Hospital Corporation 43411 Garfield Rd Clinton Township MI 48038-1152 Ph: (586) 226-7007 |
| NPI Number | 1194869107 |
|---|---|
| Provider Enumeration Date | 02/16/2007 |
| Last Update Date | 03/06/2024 |
| Certification Date | 03/06/2024 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1194869107 | NPI | - | NPPES |
| 750910634 | Other | MI | BLUE CROSS GROUP NUMBER |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 103G00000X | Clinical Neuropsychologist | (Michigan) | Secondary |
| 103T00000X | Psychologist | (Michigan) | Primary |
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