Individual
ANNALISE MARIE BORELLIS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
275 MICHIGAN ST NE FL 8, GRAND RAPIDS, MI 49503-2531
(616) 391-8810
Mailing address
275 MICHIGAN ST NE FL 8, GRAND RAPIDS, MI 49503-2531
(616) 391-8810
(616) 391-8897
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary
4351051084
MI
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
04/03/2023
Last updated
03/06/2026
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