Organization · Type 2 NPI

Botsford General Hospital

Neuromusculoskeletal Medicine & OMM Physician · Novi, MI

NPI number 1013079573 Active

Practice location

39750 Grand River Ave, Attn Omm Clinic
Novi, MI 48375-2106

Call (248) 477-6100 Map

Fax (248) 473-8480

Mailing address

26901 Beaumont Blvd
Southfield, MI 48033-3849

Specialties and licenses

Taxonomy	Code	License
Neuromusculoskeletal Medicine & OMM Physician Primary	204D00000X	None listed

Neuromusculoskeletal Medicine & OMM Physician: The Neuromusculoskeletal Medicine and Osteopathic Manipulative Medicine physician directs special attention to the neuromusculoskeletal system and its interaction with other body systems. Neuromusculoskeletal Medicine and Osteopathic Manipulative Medicine encompasses increased knowledge and understanding of osteopathic principles and practice and heightened technical skills of osteopathic manipulative medicine, and …

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NPI record

NPI: 1013079573
Entity type: Organization (Type 2)
Issued: Dec 14, 2006
Last updated: May 16, 2023
Status: Active

Other names

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Botsford Hospital Omm Tracc · doing business as
Botsford Hospital Omm Tracc · doing business as

Authorized official

Nancy Susick
Chief Operating Officer
(947) 522-3338

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This page mirrors the public NPPES file. For credentialing or billing, confirm it on the official CMS NPI Registry, and check the license with the state board.

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About NPI 1013079573

Botsford General Hospital's National Provider Identifier is 1013079573, issued on Dec 14, 2006. The primary taxonomy on file is Neuromusculoskeletal Medicine & OMM Physician (204D00000X), and the practice location is in Novi, MI. The record was last updated on May 16, 2023.