Organization
ASCENSION BORGESS HOSPITAL
Active
Other names
Kalamazoo Orthopaedic Clinic
Organization subpart
No
Provider details
NPI number
Authorized official
MS. MARINA HOUGHTON (CFO)
(269) 226-4800
Entity
Organization
Contact information
Practice address
2490 S 11TH ST, SUITE 201, KALAMAZOO, MI 49009-2175
(269) 343-1535
(269) 343-0418
Mailing address
1717 SHAFFER STREET, SUITE 002, KALAMAZOO, MI 49048
(269) 552-2830
Taxonomy
Speciality
Code
Description
License number
State
207X00000X
Orthopaedic Surgery Physician
Primary
392110031
MI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
200C976490
BCBSM PIN
—
Enumeration date
09/15/2005
Last updated
02/24/2023
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