Organization
ASCENSION BORGESS LEE HOSPITAL
Active
Organization subpart
No
Provider details
NPI number
Authorized official
PETER BERGMANN (PRESIDENT & CEO)
(269) 226-4800
Entity
Organization
Contact information
Practice address
420 W HIGH ST, DOWAGIAC, MI 49047-1943
(269) 782-8681
Mailing address
420 W HIGH ST, DOWAGIAC, MI 49047-1943
Taxonomy
Speciality
Code
Description
License number
State
367500000X
Certified Registered Nurse Anesthetist
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
430A410250
BCBSM PIN
—
Enumeration date
04/24/2008
Last updated
04/10/2019
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