Organization · NPI-2

Botsford General Hospital

Internal Medicine · Farmington Hills, MI

NPI number1609311794
StatusActive
Last updated in NPPESJun 9, 2021

Details

NPI
1609311794
Entity type
Organization (NPI-2)
Legal business name
Botsford General Hospital
Organization subpart
No
Enumeration date
Dec 27, 2016
Certification date
May 21, 2021
Last updated
Jun 9, 2021

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
207R00000X Internal Medicine1060000070MIYes
207P00000X Emergency Medicine1060000070MI
207Q00000X Family Medicine1060000070MI
207U00000X Nuclear Medicine1060000070MI
207V00000X Obstetrics & Gynecology1060000070MI
207X00000X Orthopaedic Surgery1060000070MI
207ZP0102X Pathology, Anatomic Pathology & Clinical Pathology1060000070MI
208000000X Pediatrics1060000070MI
208100000X Physical Medicine & Rehabilitation1060000070MI
2084N0400X Psychiatry & Neurology, Neurology1060000070MI
2085R0001X 1060000070MI
2085R0202X Radiology, Diagnostic Radiology1060000070MI
2085R0204X Radiology, Vascular & Interventional Radiology1060000070MI
208600000X Surgery1060000070MI
208G00000X Thoracic Surgery (Cardiothoracic Vascular Surgery)1060000070MI

Practice location

28050 Grand River Ave
Farmington Hills, MI 48336-5919

Phone 248-471-8886

Mailing address

26901 Beaumont Blvd
Compliance
Southfield, MI 48033-3849

Authorized official

Lesley Willbrandt
Director Shared Services
9475221911

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