Organization
BOTSFORD GENERAL HOSPTIAL
Active
Parent organization
BOTSFORD HOSPITAL
Organization subpart
Yes
Provider details
NPI number
Legal business name
BOTSFORD HOSPITAL
Authorized official
LESLEY WILLBRANDT (DIRECTOR SHARED SERVICES)
(947) 522-1911
Entity
Organization
Contact information
Practice address
28100 GRAND RIVER AVE, SUITE 301, FARMINGTON HILLS, MI 48336-5967
(248) 477-6100
Mailing address
26901 BEAUMONT BLVD, COMPLIANCE, SOUTHFIELD, MI 48033-4716
(947) 522-1963
Taxonomy
Speciality
Code
Description
License number
State
133V00000X
Registered Dietitian
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
193400000X
PRIMARY TAXONOMY
MI
Enumeration date
10/21/2008
Last updated
11/03/2020
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