Organization · Type 2 NPI

Henry Ford Health Providence Hospital

Surgery Physician · Southfield, MI

NPI number 1942265236 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
Obstetrics & Gynecology Physician 207V00000XNone listed
Urogynecology and Reconstructive Pelvic Surgery (Obstetrics & Gynecology) Physician 207VF0040XNone listed
Orthopaedic Surgery Physician 207X00000XNone listed
Surgery Physician Primary 208600000XNone listed
Colon & Rectal Surgery Physician 208C00000XNone listed
Physician Assistant 363A00000XNone listed
Nurse Practitioner 363L00000XNone listed

Surgery Physician: A general surgeon has expertise related to the diagnosis - preoperative, operative and postoperative management - and management of complications of surgical conditions in the following areas: alimentary tract; abdomen; breast, skin and soft tissue; endocrine system; head and neck surgery; pediatric surgery; surgical critical care; surgical oncology; trauma and burns; and vascular surgery. General surgeons increasin…

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About NPI 1942265236

Henry Ford Health Providence Hospital's National Provider Identifier is 1942265236, issued on Apr 19, 2006. The primary taxonomy on file is Surgery Physician (208600000X), and the practice location is in Southfield, MI. The record was last updated on Jul 16, 2026.