Organization
ASCENSION BORGESS HOSPITAL
Active
Other names
Borgess Trauma Services
Organization subpart
No
Provider details
NPI number
Authorized official
MARINA HOUGHTON (CFO)
(269) 226-4800
Entity
Organization
Contact information
Practice address
1535 GULL RD, SUITE 005, KALAMAZOO, MI 49048-1650
(269) 226-6917
Mailing address
1717 SHAFFER STREET, SUITE 002, KALAMAZOO, MI 49048
(269) 552-2830
Taxonomy
Speciality
Code
Description
License number
State
2086S0127X
Trauma Surgery Physician
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
020C961250
BCBSM GROUP #
MI
Enumeration date
03/06/2007
Last updated
02/24/2023
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