NPI 1013079573
Botsford General Hospital
Practice location
- Address
- 39750 Grand River Ave Attn Omm Clinic, Novi, MI 48375-2106
- Phone
- (248) 477-6100
- Fax
- (248) 473-8480
- Mailing address
- 26901 Beaumont Blvd, Southfield, MI 48033-3849
Authorised official
- Name
- Nancy Susick
- Title
- Chief Operating Officer
- Phone
- (947) 522-3338
Registered specialties
Neuromusculoskeletal Medicine & OMM Physician
Primary
Registry record
- NPI
- 1013079573
- Entity type
- Organization
- NPI issued
- 14 Dec 2006
- Record last updated
- 16 May 2023
Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.