| Organization Name: | HENRY FORD MACOMB HOSPITAL CORPORATION |
| NPI Number: | 1528113032 |
| Entity Type Code: | Organizational (2) |
| Authorized Official Name: | TERRY A GOODBALIAN (VP-FINANCE) |
| Mailing Address: | 16151 19 Mile Rd Suite 300 Clinton Twp |
| State: | MI US |
| Postal Code: | 480381158 |
| Phone Number: | 5862281760 |
| Fax Number: | 5862282672 |
| NPI Enumeration Date: | 01/24/2007 |
| NPI Last Update Date: | 03/15/2016 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 207V00000X |
| License Number: | 055712 |
| Healthcare Provider Taxonomy: (Secondary) | N |
| State: | MI |
| Taxonomy Type: | Allopathic & Osteopathic Physicians |
| Taxonomy Classification: | Obstetrics & Gynecology |
| Taxonomy Specialization: | |
| Taxonomy Definition: | An obstetrician/gynecologist possesses special knowledge, skills and professional capability in the medical and surgical care of the female reproductive system and associated disorders. This physician serves as a consultant to other physicians and as a primary physician for women. |