Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Henry Ford Health St John Hospital

Organization Cardiovascular Disease Physician · NPI 1396876256

Henry Ford Health St John Hospital is a Cardiovascular Disease Physician in Detroit, Michigan. Registered with an NPI since 2007.

In the registry since
2007
Specialties on file
3

Practice location Address checks out

22101 Moross Rd
Detroit, MI 48236-2148
Phone: (586) 753-0011
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Cardiovascular Disease Physician (primary) Taxonomy 207RC0000X
Interventional Cardiology Physician Taxonomy 207RI0011X
Clinic/Center Taxonomy 261Q00000X

Record details

NPI number1396876256
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Kimberly Cebalt — Director · (313) 874-6764
NPI enumeratedMarch 9, 2007
Last updated in NPPESJuly 16, 2026
Certification dateJuly 16, 2026
Mailing addressPo Box 670884, Detroit, MI 48267-0884

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