Organization
BOTSFORD GENERAL HOSPTIAL
Active
Parent organization
BOTSFORD GENERAL HOSPITAL
Other names
Midwest Internal Medicine Assoc. (NP)
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
20317 FARMINGTON RD, LIVONIA, MI 48152-1411
(248) 615-0777
(248) 615-0779
Mailing address
26901 BEAUMONT BLVD, SOUTHFIELD, MI 48033-3849
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
500H229060
BCBSM
MI
Enumeration date
01/24/2008
Last updated
08/21/2019
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