HENRY FORD MEDICAL CENTER FAIRLANE NPI 1538179551

NPI Information

HENRY FORD MEDICAL CENTER FAIRLANE is an ambulatory surgical clinic center in Dearborn, MI. HENRY FORD MEDICAL CENTER FAIRLANE NPI is 1538179551. The provider is registered as an organization entity type.
The provider Is Doing Business As Henry Ford Health System.

The provider's business location address is:

19401 HUBBARD DR
DEARBORN, MI
ZIP 48126-641
Phone: (313) 982-8100

The provider's authorized official is Robin Damschroder .
The authorized official title is Evp, Chief Fin & Bus Dev Office and has the following contact phone number (248) 648-7204.

The enumeration date for this NPI number is 8/9/2006 and was last updated on 3/8/2024.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

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