Organization
BOTSFORD GENERAL HOSPITAL
Active
Parent organization
BOTSFORD GENERAL HOSPITAL
Other names
Botsford Primary Care Physicians
Organization subpart
Yes
Provider details
NPI number
Legal business name
BOTSFORD GENERAL HOSPITAL
Authorized official
NANCY SUSICK (CHIEF OPERATING OFFICER)
(947) 522-3338
Entity
Organization
Contact information
Practice address
27031 W WARREN ST, DEARBORN HEIGHTS, MI 48127-1901
(313) 274-3320
(313) 730-9222
Mailing address
26901 BEAUMONT BLVD STE 3D, SOUTHFIELD, MI 48033-3849
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
160F371160
BLUE CROSS
MI
Enumeration date
08/03/2006
Last updated
05/16/2023
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