| Daniel K Borreson, MD | |
|
1045 Gezon Pkwy Sw, Wyoming, MI 49509 | |
| (616) 456-5311 | |
| (616) 456-7955 |
| Full Name | Daniel K Borreson |
|---|---|
| Gender | Male |
| Speciality | Surgery |
| Location | 1045 Gezon Pkwy Sw, Wyoming, Michigan |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1245211796 | NPI | - | NPPES |
| 0D16117 | Other | MI | BCBS |
| 2608575 | Medicaid | MI |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 208600000X | Surgery | 4301041912 (Michigan) | Primary |
| Entity Name | West Michigan Surgical Specialists Plc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1679508659 PECOS PAC ID: 3870583727 Enrollment ID: O20040513001072 |
| Entity Name | Advantage Health/saint Mary's Medical Group |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1376862151 PECOS PAC ID: 4082807961 Enrollment ID: O20101023000279 |
| Mailing Address | Practice Location Address |
|---|---|
| Daniel K Borreson, MD 1045 Gezon Pkwy Sw, Wyoming, MI 49509-9542 Ph: (616) 456-5311 | Daniel K Borreson, MD 1045 Gezon Pkwy Sw, Wyoming, MI 49509 Ph: (616) 456-5311 |
Dr. Antonia Jocelyn Henry, M.D. Surgery Medicare: Medicare Enrolled Practice Location: 2093 Health Dr Sw Ste 302, Wyoming, MI 49519 Phone: 616-252-5775 Fax: 616-252-5269 | |
Karlin Edith Sevensma, D.O. Surgery Medicare: Accepting Medicare Assignments Practice Location: 1009 44th St Sw Ste 101, Wyoming, MI 49509 Phone: 616-252-4100 Fax: 616-252-4953 | |
Miranda Allen, D.O. Surgery Medicare: Accepting Medicare Assignments Practice Location: 1009 44th St Sw Ste 101, Wyoming, MI 49509 Phone: 616-828-4622 Fax: 616-635-2552 | |
Dr. Eric J Mitchell, MD Surgery Medicare: Accepting Medicare Assignments Practice Location: 1045 Gezon Pkwy Sw, Wyoming, MI 49509 Phone: 616-456-5311 Fax: 616-456-7955 | |
Shanna Brynne Williams, D.O. Surgery Medicare: Accepting Medicare Assignments Practice Location: 1045 Gezon Pkwy Sw, Wyoming, MI 49509 Phone: 616-456-5311 Fax: 616-456-7955 | |
Joseph G Sage, D.O. Surgery Medicare: Not Enrolled in Medicare Practice Location: 2093 Health Dr Sw, Suite 300, Wyoming, MI 49519 Phone: 616-532-8100 Fax: 616-532-8200 |