Dr KENNETH JOSEPH BOTTESI MD is a male medical professional, specializing in Neurology. He graduated in 1992 from Wayne State University School Of Medicine.
ASCENSION MEDICAL GROUP MICHIGAN
45634 SCHOENHERR RD
SHELBY TOWNSHIP
MI
483156024
Tel: 5865663000
| Npi | 1164419008 |
| Pac Id | 0840226254 |
| Professional Enrollment Id | I20050715000937 |
| Last Name | BOTTESI |
| First Name | KENNETH |
| Middle Name | JOSEPH |
| Suffix | |
| Gender | M |
| Credential | MD |
| Medical School Name | WAYNE STATE UNIVERSITY SCHOOL OF MEDICINE |
| Graduation Year | 1992 |
| Primary Specialty | NEUROLOGY |
| Secondary Specialty 1 | |
| Secondary Specialty 2 | |
| Secondary Specialty 3 | |
| Secondary Specialty 4 | |
| All Secondary Specialties | |
| Organization Legal Name | ASCENSION MEDICAL GROUP MICHIGAN |
| Group Practice Pac Id | 0648180406 |
| Number Of Group Practice Members | 112 |
| Line 1 Street Address | 45634 SCHOENHERR RD |
| Line 2 Street Address | |
| Marker Of Address Line 2 Suppression | |
| City | SHELBY TOWNSHIP |
| State | MI |
| Zip Code | 483156024 |
| Phone Number | 5865663000 |
| Hospital Affiliation Ccn 1 | 230195 |
| Hospital Affiliation Lbn 1 | ST JOHN MACOMB-OAKLAND HOSPITAL-MACOMB CENTER |
| Hospital Affiliation Ccn 2 | 230165 |
| Hospital Affiliation Lbn 2 | ST JOHN HOSPITAL AND MEDICAL CENTER |
| Hospital Affiliation Ccn 3 | 230047 |
| Hospital Affiliation Lbn 3 | HENRY FORD MACOMB HOSPITAL |
| Hospital Affiliation Ccn 4 | 230241 |
| Hospital Affiliation Lbn 4 | ST JOHN RIVER DISTRICT HOSPITAL |
| Hospital Affiliation Ccn 5 | 230269 |
| Hospital Affiliation Lbn 5 | BEAUMONT HOSPITAL, TROY |
| Professional Accepts Medicare Assignment | Y |
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