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Organization

BORGESS MEDICAL CENTER

Active
Organization subpart
No

Provider details

NPI number
Authorized official
MR. EDWARD MILLERMAIER MD (MEDICAL OFFICER)
(269) 552-2910
Entity
Organization

Contact information

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

Taxonomy

Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary

Other

Enumeration date
12/06/2006
Last updated
12/17/2007
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