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

Henry Ford Hospital

Organization Sleep Medicine (Internal Medicine) Physician · NPI 1104040609

Henry Ford Hospital is a Sleep Medicine (Internal Medicine) Physician in Detroit, Michigan. Licensed in Michigan. Registered with an NPI since 2007.

Licensed in
MI
In the registry since
2007

Practice location Address checks out

2799 W Grand Blvd
Detroit, MI 48202-2608
Phone: (313) 916-8144
Fax: (313) 916-4460
Show map & directions

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

Specialties & licences

Sleep Medicine (Internal Medicine) Physician (primary) Taxonomy 207RS0012X · Licence 4301072583 (MI)

Record details

NPI number1104040609
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Jodie Roberts — Manager · (248) 641-4041
NPI enumeratedApril 13, 2007
Last updated in NPPESAugust 23, 2024
Certification dateAugust 23, 2024
Mailing address2799 W Grand Blvd, Detroit, MI 48202-2608

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