institution
Kenneth A Borenitsch D O P C
General Practice Physician in Manistee, Michigan
NPI 1407120165

Kenneth A Borenitsch D O P C is a General Practice Physician based in Manistee, MI. Kenneth A Borenitsch D O P C practices in Manistee, MI. The NPI Number for Kenneth A Borenitsch D O P C is 1407120165 and holds a License No. 5101007441 (Michigan).

The current practice location address for Kenneth A Borenitsch D O P C is 1237 E Parkdale Ave, Manistee, MI and can be reached out via phone at 231-723-8521 and via fax at 231-398-0478.

Location: 1237 E Parkdale Ave, Manistee, MI, 49660-9353
institution
Provider Profile Details
NPI Number
1407120165
Provider Name
Kenneth A Borenitsch D O P C
Credential
Provider Entity Type
Organization
Address
1237 E Parkdale Ave, Manistee, MI, 49660-9353
Phone Number
231-723-8521
Fax Number
231-398-0478
Provider Enumeration Date
02/28/2012
Last Update Date
03/09/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
015512665 01 BCBSM
1405970 05 MI
institution
Provider Business Practice Location Address Details
Address
1237 E Parkdale Ave
City
State
Zip
49660-9353
Phone Number
231-723-8521
Fax Number
231-398-0478
person
Provider Business Mailing Address Details
Address
1237 E Parkdale Ave
City
State
Zip
49660-9353
Phone Number
231-723-8521
Fax Number
231-398-0478
person
Provider's Taxonomy Details 1
Type
Allopathic & Osteopathic Physicians
Classification
General Practice
Speciality
-
Taxonomy
License No.
5101007441 (Michigan)
Definition
Definition to come...
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