Organization · Type 2 NPI

Henry Ford Health Providence Hospital

Neonatal-Perinatal Medicine Physician · Southfield, MI

NPI number 1003871062 Active

Practice location

16001 W 9 Mile Rd
Southfield, MI 48075-4818

Call (248) 849-3000 Map

Fax (248) 849-2244

Mailing address

PO Box 670884
Detroit, MI 48267-0884

Specialties and licenses

TaxonomyCodeLicense
Neonatal-Perinatal Medicine Physician Primary 2080N0001XNone listed

Neonatal-Perinatal Medicine Physician: A pediatrician who is the principal care provider for sick newborn infants. Clinical expertise is used for direct patient care and for consulting with obstetrical colleagues to plan for the care of mothers who have high-risk pregnancies.

519 other providers at this address

About NPI 1003871062

Henry Ford Health Providence Hospital's National Provider Identifier is 1003871062, issued on Apr 20, 2006. The primary taxonomy on file is Neonatal-Perinatal Medicine Physician (2080N0001X), and the practice location is in Southfield, MI. The record was last updated on May 4, 2026.