Organization
BOTSFORD GENERAL HOSPTIAL
Active
Parent organization
BOTSFORD GENERAL HOSPITAL
Other names
Comprehensive OBGYN Livonia
Organization subpart
Yes
Provider details
NPI number
Legal business name
BOTSFORD GENERAL HOSPITAL
Authorized official
LESLEY WILLBRANDT (DIRECTOR SHARED SERVICES)
(947) 522-1911
Entity
Organization
Contact information
Practice address
28711 8 MILE RD, SUITE C, LIVONIA, MI 48152-2040
(248) 474-4590
(248) 888-9127
Mailing address
26901 BEAUMONT BLVD, SOUTHFIELD, MI 48033-3849
Taxonomy
Speciality
Code
Description
License number
State
207V00000X
Obstetrics & Gynecology Physician
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
OF37116
BLUE CROSS
MI
Enumeration date
06/15/2006
Last updated
08/16/2019
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