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

Henry Ford Health System

Organization Gynecologic Oncology Physician · NPI 1063596468

Henry Ford Health System is a Gynecologic Oncology 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

Gynecologic Oncology Physician (primary) Taxonomy 207VX0201X · Licence 830190 (MI)

Record details

NPI number1063596468
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Kelly Ratowski — Director-Office Of Provider Affairs · (313) 874-4806
NPI enumeratedOctober 24, 2006
Last updated in NPPESAugust 23, 2024
Certification dateAugust 23, 2024
Mailing address2799 W Grand Blvd, Detroit, MI 48202-2608

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