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Organization
BOTSFORD GENERAL HOSPTIAL
Active
Organization
BOTSFORD GENERAL HOSPTIAL
Active
Other names
Resident OBGYN Clinic
Organization subpart
No
Provider details
NPI number
Authorized official
LEE ANN ODOM (PRESIDENT SHARED SERVICES)
(947) 522-3326
Entity
Organization
Contact information
Practice address
28711 8 MILE RD, SUITE E, LIVONIA, MI 48152-2040
(248) 888-2649
Mailing address
26901 BEAUMONT BLVD, COMPLIANCE, SOUTHFIELD, MI 48033-3849
(947) 522-1964
Taxonomy
Speciality
Code
Description
License number
State
207V00000X
Obstetrics & Gynecology Physician
Primary
—
NULL
207V00000X
Obstetrics & Gynecology Physician
Primary
—
—
Other
Enumeration date
06/11/2006
Last updated
10/18/2021
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