Organization
ASCENSION BORGESS HOSPITAL
Active
Organization subpart
No
Provider details
NPI number
Authorized official
NICOLE MARLOWE (CREDENTIALING ASSISTANT)
(269) 552-2823
Entity
Organization
Contact information
Practice address
1521 GULL RD, KALAMAZOO, MI 49048-1640
(269) 226-7000
Mailing address
3245 HEALTH DR STE 100, GRANGER, IN 46530-1380
Taxonomy
Speciality
Code
Description
License number
State
2085D0003X
Diagnostic Neuroimaging (Radiology) Physician
—
—
2085H0002X
Hospice and Palliative Medicine (Radiology) Physician
—
—
2085R0202X
Diagnostic Radiology Physician
Primary
—
—
2085R0204X
Vascular & Interventional Radiology Physician
—
—
2085U0001X
Diagnostic Ultrasound Physician
—
—
Other
Enumeration date
04/17/2025
Last updated
06/18/2026
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