Organization
BOTSFORD GENERAL HOSPITAL
Active
Parent organization
BOTSFORD GENERAL HOSPITAL
Other names
Internal Medicine Associates Farmington Hills
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
28100 GRAND RIVER AVE STE 206, FARMINGTON HILLS, MI 48336-5969
(947) 521-2710
(248) 888-2712
Mailing address
26901 BEAUMONT BLVD, SOUTHFIELD, MI 48033-3849
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
110H299920
BLUE CROSS
MI
01
—
G4730F
BLUE CARE NETWORK
MI
Enumeration date
06/15/2006
Last updated
08/21/2019
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