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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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