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Organization
BOTSFORD GENERAL HOSPITAL
Active
Organization
BOTSFORD GENERAL HOSPITAL
Active
Other names
Botsford Hospital OMM TRACC
Organization subpart
No
Provider details
NPI number
Authorized official
NANCY SUSICK (CHIEF OPERATING OFFICER)
(947) 522-3338
Entity
Organization
Contact information
Practice address
39750 GRAND RIVER AVE, ATTN OMM CLINIC, NOVI, MI 48375-2106
(248) 477-6100
(248) 473-8480
Mailing address
26901 BEAUMONT BLVD, SOUTHFIELD, MI 48033-3849
(947) 522-1963
Taxonomy
Speciality
Code
Description
License number
State
204D00000X
Neuromusculoskeletal Medicine & OMM Physician
Primary
—
NULL
204D00000X
Neuromusculoskeletal Medicine & OMM Physician
Primary
—
—
Other
Enumeration date
12/14/2006
Last updated
05/16/2023
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