Botsford General Hospital
Family Medicine in Dearborn Heights, MI. Organization (NPI-2).
NPI number1114935566
StatusActive
Last updated in NPPESMay 16, 2023
Details
- NPI
- 1114935566
- Entity type
- Organization (NPI-2)
- Legal business name
- Botsford General Hospital
- Organization subpart
- Yes
- Enumeration date
- Aug 3, 2006
- Certification date
- May 16, 2023
- Last updated
- May 16, 2023
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 207Q00000X | Family Medicine | – | – | Yes |
Other names
- Botsford Primary Care Physicians (Other Name)
Practice location
27031 W Warren StDearborn Heights, MI 48127-1901
Phone 313-274-3320 · Fax 313-730-9222
Mailing address
26901 Beaumont Blvd Ste 3dSouthfield, MI 48033-3849
Authorized official
Nancy Susick
Chief Operating Officer
9475223338
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