# BORGESS MEDICAL CENTER

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1235297557
- **Authorized official:** MR. EDWARD MILLERMAIER MD (MEDICAL OFFICER)
- **Authorized official phone:** (269) 552-2910

## Contact information

- **Practice address:** 7901 ANGLING RD, PORTAGE, MI 49024-0714
- **Practice address phone:** (269) 324-8405
- **Mailing address:** 5943 STADIUM DR, SUITE 3, KALAMAZOO, MI 49009-3016
- **Mailing address phone:** (269) 552-2836
- **Mailing address fax:** (269) 552-2835

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 363A00000X | Physician Assistant | — | NULL | Yes |
| 363A00000X | Physician Assistant | — | — | Yes |

## Other

- **Enumeration date:** 12/06/2006
- **Last updated:** 12/17/2007