Organization
BOTSFORD GENERAL HOSPITAL
Active
Organization subpart
No
Provider details
NPI number
Authorized official
LESLEY WILLBRANDT (DIRECTOR SHARED SERVICES)
(947) 522-1911
Entity
Organization
Contact information
Practice address
28050 GRAND RIVER AVE, FARMINGTON HILLS, MI 48336-5919
(248) 471-8886
Mailing address
26901 BEAUMONT BLVD, COMPLIANCE, SOUTHFIELD, MI 48033-3849
Taxonomy
Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
1060000070
MI
207Q00000X
Family Medicine Physician
1060000070
MI
207R00000X
Internal Medicine Physician
Primary
1060000070
MI
207U00000X
Nuclear Medicine Physician
1060000070
MI
207V00000X
Obstetrics & Gynecology Physician
1060000070
MI
207X00000X
Orthopaedic Surgery Physician
1060000070
MI
207ZP0102X
Anatomic Pathology & Clinical Pathology Physician
1060000070
MI
208000000X
Pediatrics Physician
1060000070
MI
208100000X
Physical Medicine & Rehabilitation Physician
1060000070
MI
2084N0400X
Neurology Physician
1060000070
MI
2085R0001X
Radiation Oncology Physician
1060000070
MI
2085R0202X
Diagnostic Radiology Physician
1060000070
MI
2085R0204X
Vascular & Interventional Radiology Physician
1060000070
MI
208600000X
Surgery Physician
1060000070
MI
208G00000X
Thoracic Surgery (Cardiothoracic Vascular Surgery) Physician
1060000070
MI
Other
Enumeration date
12/27/2016
Last updated
06/09/2021
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