Organization · Type 2 NPI

Botsford General Hospital

Obstetrics & Gynecology Nurse Practitioner · Livonia, MI

NPI number 1104144500 Active

Practice location

28711 8 Mile Rd, Ste C
Livonia, MI 48152-2040

Call (248) 474-4590 Map

Mailing address

26901 Beaumont Blvd
Southfield, MI 48033-3849

Specialties and licenses

Taxonomy	Code	License
Obstetrics & Gynecology Nurse Practitioner Primary	363LX0001X	None listed

Obstetrics & Gynecology Nurse Practitioner: Definition to come...

6 other providers at this address

Botsford General HospitalObstetrics & Gynecology Physician Livonia, MI NPI 1821006255
Botsford General HosptialObstetrics & Gynecology Physician Livonia, MI NPI 1376585703
Botsford General HosptialObstetrics & Gynecology Physician Livonia, MI NPI 1487698247
Adrienne M. Stanley, DOObstetrics & Gynecology Physician Livonia, MI NPI 1457393514
Sara Kaye Schallmo, DOObstetrics & Gynecology Physician Livonia, MI NPI 1861698995
Ted Podeszwa, DOInternal Medicine Physician Livonia, MI NPI 1356387708

NPI record

NPI: 1104144500
Entity type: Organization (Type 2)
Issued: May 10, 2010
Last updated: Aug 16, 2019
Status: Active
Subpart: Yes of Botsford General Hospital

Other names

<unavail>
Comprehensive Obgyn NP · doing business as
Comprehensive Obgyn NP · doing business as

Authorized official

Lesley Willbrandt
Director Shared Services
(947) 522-1911

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About NPI 1104144500

Botsford General Hospital's National Provider Identifier is 1104144500, issued on May 10, 2010. The primary taxonomy on file is Obstetrics & Gynecology Nurse Practitioner (363LX0001X), and the practice location is in Livonia, MI. The record was last updated on Aug 16, 2019.