Botsford General Hospital
Neuromusculoskeletal Medicine & OMM in Novi, MI. Organization (NPI-2).
NPI number1013079573
StatusActive
Last updated in NPPESMay 16, 2023
Details
- NPI
- 1013079573
- Entity type
- Organization (NPI-2)
- Legal business name
- Botsford General Hospital
- Organization subpart
- No
- Enumeration date
- Dec 14, 2006
- Certification date
- May 16, 2023
- Last updated
- May 16, 2023
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 204D00000X | Neuromusculoskeletal Medicine & OMM | – | – | Yes |
Other names
- Botsford Hospital Omm Tracc (Doing Business As)
Practice location
39750 Grand River AveAttn Omm Clinic
Novi, MI 48375-2106
Phone 248-477-6100 · Fax 248-473-8480
Mailing address
26901 Beaumont BlvdSouthfield, MI 48033-3849
Phone 947-522-1963
Authorized official
Nancy Susick
Chief Operating Officer
9475223338
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