Organization
BOTSFORD KIDNEY CENTER
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. SIDNEY BASKIN MD (PRESIDENT/CEO/MEDICAL DIRECTOR)
(248) 442-7901
Entity
Organization
Contact information
Practice address
28425 8 MILE RD, LIVONIA, MI 48152-2008
(248) 442-7901
(248) 442-2041
Mailing address
28425 8 MILE RD, LIVONIA, MI 48152-2008
(248) 442-7901
(248) 442-2041
Taxonomy
Speciality
Code
Description
License number
State
261QE0700X
End-Stage Renal Disease (ESRD) Treatment Clinic/Center
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
2791559
—
MI
Enumeration date
07/19/2005
Last updated
12/03/2007
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