BOTSFORD GENERAL HOSPITAL NPI 1003844614

NPI Information

  • NPI: 1003844614
  • Provider Name: BOTSFORD GENERAL HOSPITAL
  • Classification: Internal Medicine - 207RH0003X
  • Specialization: Hematology & Oncology
  • Entity Type: Organization
  • Other Name: BOTSFORD ONCOLOGY PRACTICE
  • Address: 28080 GRAND RIVER AVE
    SUITE 306
    FARMINGTON HILLS, MI
    ZIP 48336
  • Phone: (248) 471-8182

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NPI Details

BOTSFORD GENERAL HOSPITAL is a hematology and oncology internal medicine in Farmington Hills, MI. The provider is an internist doctor of osteopathy that specializes in the treatment of the combination of hematology and oncology disorders. A doctor of osteopathy that is board eligible/certified by the American Osteopathic Board of Internal Medicine WAS able to obtain a Certificate of Special Qualifications in the field of Hematology and Oncology. The Certificate is NO longer offered. BOTSFORD GENERAL HOSPITAL NPI is 1003844614. The provider is registered as an organization entity type and is a multiple single specialty group.
The provider Other Name Is Botsford Oncology Practice.

The provider's business location address is:

28080 GRAND RIVER AVE
SUITE 306
FARMINGTON HILLS, MI
ZIP 48336-966
Phone: (248) 471-8182
Fax: (248) 478-7179

The provider's authorized official is Lesley Willbrandt .
The authorized official title is Director Shared Services and has the following contact phone number (947) 522-1911.

The enumeration date for this NPI number is 6/30/2006 and was last updated on 8/21/2019.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1207RH0003XInternal MedicineHematology & OncologyYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No. Other Provider Identifier Other Provider Identifier Type Other Provider Identifier State Other Provider Identifier Issuer
1110Q246120OTHERMICHIGANBLUE CROSS
22877555MEDICAIDMICHIGAN

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 3/30/2025

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