Henry Ford Health St John Hospital
Henry Ford Health St John Hospital is an Allergy & Immunology (Internal Medicine) Physician in Saint Clair Shores, Michigan. Licensed in Michigan. Registered with an NPI since 2011.
- Licensed in
- MI
- In the registry since
- 2011
- Specialties on file
- 7
Practice location Address checks out
21000 E 12 Mile Rd Ste 111Saint Clair Shores, MI 48081-1156
Phone: (586) 779-7610
Fax: (586) 779-0031
Show map & directions
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Pin is approximate — placed at the ZIP-code centre, not the exact door.
Specialties & licences
| Otolaryngology Physician (primary) | Taxonomy 207Y00000X (MI) |
|---|---|
| Allergy & Immunology (Internal Medicine) Physician | Taxonomy 207RA0201X (MI) |
| Pediatric Otolaryngology Physician | Taxonomy 207YP0228X (MI) |
| Facial Plastic Surgery Physician | Taxonomy 207YS0123X (MI) |
| Plastic Surgery within the Head & Neck (Otolaryngology) Physician | Taxonomy 207YX0007X (MI) |
| Otology & Neurotology Physician | Taxonomy 207YX0901X (MI) |
| Otolaryngology/Facial Plastic Surgery Physician | Taxonomy 207YX0905X (MI) |
Record details
| NPI number | 1376820605 |
|---|---|
| Entity type | Organization (Type 2) |
| Organization subpart | No |
| Authorized official | Kimberly Cebalt — Director · (313) 874-6764 |
| Other names | Henry Ford St. John Hospital; Lakeshore Ent Center; Lakeshore Ent Center |
| NPI enumerated | November 15, 2011 |
| Last updated in NPPES | May 19, 2026 |
| Certification date | May 19, 2026 |
| Mailing address | Po Box 670884, Detroit, MI 48267-0884 |