Organization · Type 2 NPI
Henry Ford Health System
Gynecologic Oncology Physician · Detroit, MI
NPI number
1063596468
Active
Practice location
2799 W Grand Blvd
Detroit, MI 48202-2608
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Gynecologic Oncology Physician Primary | 207VX0201X | 830190 (MI) |
Gynecologic Oncology Physician: An obstetrician/gynecologist who provides consultation and comprehensive management of patients with gynecologic cancer, including those diagnostic and therapeutic procedures necessary for the total care of the patient with gynecologic cancer and resulting complications.
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About NPI 1063596468
Henry Ford Health System's National Provider Identifier is 1063596468, issued on Oct 24, 2006. The primary taxonomy on file is Gynecologic Oncology Physician (207VX0201X), and the practice location is in Detroit, MI. The record was last updated on Aug 23, 2024.