Organization · Type 2 NPI

Henry Ford Health Providence Hospital

Internal Medicine Physician · Southfield, MI

NPI number 1922063213 Active

Practice location

16001 W 9 Mile Rd
Southfield, MI 48075-4818

Fax (248) 849-2244

Mailing address

PO Box 670884
Detroit, MI 48267-0884

Specialties and licenses

TaxonomyCodeLicense
Diabetes Educator Registered Nurse 163WD0400XNone listed
Internal Medicine Physician Primary 207R00000XNone listed
Nursing Care Agency 251J00000XNone listed
Adult Health Nurse Practitioner 363LA2200XNone listed

Internal Medicine Physician: A physician who provides long-term, comprehensive care in the office and the hospital, managing both common and complex illness of adolescents, adults and the elderly. Internists are trained in the diagnosis and treatment of cancer, infections and diseases affecting the heart, blood, kidneys, joints and digestive, respiratory and vascular systems. They are also trained in the essentials of primary care internal medi…

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About NPI 1922063213

Henry Ford Health Providence Hospital's National Provider Identifier is 1922063213, issued on Apr 19, 2006. The primary taxonomy on file is Internal Medicine Physician (207R00000X), and the practice location is in Southfield, MI. The record was last updated on Jul 16, 2026.