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

Henry Ford Health System

Organization Urology Physician · NPI 1063573368

Henry Ford Health System is an Urology Physician in Detroit, Michigan. Licensed in Michigan. Registered with an NPI since 2006.

Licensed in
MI
In the registry since
2006

Practice location Address checks out

2799 W Grand Blvd
Detroit, MI 48202-2608
Phone: (313) 916-2600
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Urology Physician (primary) Taxonomy 208800000X · Licence 830190 (MI)

Record details

NPI number1063573368
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Kelly Ratowski — Director Of Provider Affairs · (313) 874-4806
NPI enumeratedDecember 12, 2006
Last updated in NPPESAugust 23, 2024
Certification dateAugust 23, 2024
Mailing address2799 W Grand Blvd, Detroit, MI 48202-2608

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