Organization
ASCENSION BORGESS HOSPITAL
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MARINA HOUGHTON (CFO)
(269) 226-4800
Entity
Organization
Contact information
Practice address
3025 GULL RD, KALAMAZOO, MI 49048-1281
(269) 552-2200
Mailing address
1717 SHAFFER ST STE 2, KALAMAZOO, MI 49048-1623
Taxonomy
Speciality
Code
Description
License number
State
133V00000X
Registered Dietitian
Primary
—
MI
207R00000X
Internal Medicine Physician
—
—
207RE0101X
Endocrinology, Diabetes & Metabolism Physician
—
—
Other
Enumeration date
10/25/2006
Last updated
01/25/2023
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