Borgess Medical Center

NPI #1235297557 in Portage, Michigan

Provider Information

NPI Number: 1235297557
Entity Type: Organization
Organization Name: Borgess Medical Center
Primary Specialty: Physician Assistant
Enumeration Date: Dec 6, 2006
Last Updated: Dec 17, 2007

Practice Location

Address: 7901 ANGLING RD
City: Portage
State: Michigan
ZIP Code: 49024-0714
Phone: (269) 324-8405

Authorized Official

Name: MR. EDWARD MILLERMAIER, MD
Title: MEDICAL OFFICER
Phone: (269) 552-2910

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Physician Assistant	363A00000X	Primary

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