# BOTSFORD GENERAL HOSPITAL

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- **Entity:** Organization
- **Status:** Active
- **Parent organization:** BOTSFORD GENERAL HOSPITAL
- **Other names:** Botsford Obstetrics and Gynecology
- **Organization subpart:** Yes

## Provider details

- **NPI number:** 1942218383
- **Legal business name:** BOTSFORD GENERAL HOSPITAL
- **Authorized official:** LESLEY WILLBRANDT (DIRECTOR SHARED SERVICES)
- **Authorized official phone:** (947) 522-1911

## Contact information

- **Practice address:** 28100 GRAND RIVER AVE, SUITE 301, FARMINGTON HILLS, MI 48336-5967
- **Practice address phone:** (248) 476-8220
- **Practice address fax:** (248) 471-1763
- **Mailing address:** 26901 BEAUMONT BOULEVARD, STE. 3D, SOUTHFIELD, MI 48033-3849
- **Mailing address phone:** (947) 522-1857

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 207V00000X | Obstetrics & Gynecology Physician | — | NULL | Yes |
| 207V00000X | Obstetrics & Gynecology Physician | — | — | Yes |

## Other

- **Enumeration date:** 08/03/2006
- **Last updated:** 02/11/2019