| Kenneth A Borenitsch D O P C | |
|
1237 E Parkdale Ave Suite 2 Manistee MI 49660-9353 | |
| (231) 723-8521 | |
| (231) 398-0478 |
| Full Name | Kenneth A Borenitsch D O P C |
|---|---|
| Speciality | General Practice |
| Location | 1237 E Parkdale Ave, Manistee, Michigan |
| Authorized Official Name and Position | Kenneth Albert Borenitsch (PRESIDENT) |
| Authorized Official Contact | 2317238521 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Kenneth A Borenitsch D O P C 1237 E Parkdale Ave Suite 2 Manistee MI 49660-9353 Ph: (231) 723-8521 | Kenneth A Borenitsch D O P C 1237 E Parkdale Ave Suite 2 Manistee MI 49660-9353 Ph: (231) 723-8521 |
| NPI Number | 1407120165 |
|---|---|
| Provider Enumeration Date | 02/28/2012 |
| Last Update Date | 02/27/2014 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1407120165 | NPI | - | NPPES |
| 015512665 | Other | BCBSM | |
| 1405970 | Medicaid | MI |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 208D00000X | General Practice | 5101007441 (Michigan) | Primary |
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West Shore Medical Center Physician Services Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 1293 E Parkdale Ave, Manistee, MI 49660 Phone: 231-398-1750 Fax: 231-398-1751 | |
Little River Band Of Ottawa Indians Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 2608 Government Center Dr, Manistee, MI 49660 Phone: 231-723-8299 Fax: 231-398-9684 | |
Harmony Health Family Practice Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 50 Filer St Ste 324, Manistee, MI 49660 Phone: 231-887-4129 Fax: 231-887-4324 | |
Manistee Family Health Care Plc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 110 Washington St, Manistee, MI 49660 Phone: 231-723-9190 Fax: 231-723-9191 | |
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