Individual
DR. KENNETH ALBERT BORENITSCH
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
D.O.
Contact information
Practice address
1237 E PARKDALE AVE, SUITE 2, MANISTEE, MI 49660-9353
(231) 723-8521
(231) 398-0478
Mailing address
1237 E PARKDALE AVE, SUITE 2, MANISTEE, MI 49660-9353
(231) 723-8521
(231) 398-0478
Taxonomy
Speciality
Code
Description
License number
State
208D00000X
General Practice Physician
Primary
5101007441
MI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
015512665
BLUE CROSS BLUE SHIELD OF MI
MI
05
—
1405970
—
MI
Enumeration date
01/04/2007
Last updated
02/27/2014
About Stedi
Stedi is the only programmable healthcare clearinghouse. You can use Stedi's APIs to process eligibility checks, claims, remits, and more.
Contact us