Organization
WEST MICHIGAN SURGICAL SPECIALISTS PLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DANIEL K BORRESON M.D. (M.D./PRESIDENT)
(616) 456-5311
Entity
Organization
Contact information
Practice address
1045 GEZON PKWY SW, WYOMING, MI 49509-9542
(616) 456-5311
(616) 456-7955
Mailing address
1045 GEZON PKWY SW, WYOMING, MI 49509-9542
(616) 456-5311
(616) 456-7955
Taxonomy
Speciality
Code
Description
License number
State
208600000X
Surgery Physician
Primary
DB041912
MI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0D16117
BCBS
MI
Enumeration date
07/11/2006
Last updated
01/05/2021
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