| Mark Bornstein, DO | |
|
1964 11 Mile Rd, Berkley, MI 48072-3046 | |
| (248) 544-9300 | |
| (248) 544-1148 |
| Full Name | Mark Bornstein |
|---|---|
| Gender | Male |
| Speciality | Family Medicine |
| Location | 1964 11 Mile Rd, Berkley, Michigan |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1164982203 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | 5101026804 (Michigan) | Primary |
| Entity Name | Michigan Healthcare Professionals Pc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1295023547 PECOS PAC ID: 0345413258 Enrollment ID: O20111109000027 |
| Mailing Address | Practice Location Address |
|---|---|
| Mark Bornstein, DO 1964 W 11 Mile Rd, Berkley, MI 48072 Ph: (248) 544-9300 | Mark Bornstein, DO 1964 11 Mile Rd, Berkley, MI 48072-3046 Ph: (248) 544-9300 |
Vian Misho, MD Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 3345 Coolidge Hwy, Berkley, MI 48072 Phone: 248-544-7110 Fax: 248-544-7112 | |
Dr. Paul Alan Benson, D.O. Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 1964 11 Mile Rd, Suite 1, Berkley, MI 48072 Phone: 248-544-9300 Fax: 248-544-1148 | |
Stacey Marie Ruff, D.O. Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 1949 W 12 Mile Rd, #100, Berkley, MI 48072 Phone: 248-551-1756 Fax: 248-551-9566 | |
Alexandra Lee Pierret, M.D. Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 3211 Coolidge Hwy, Berkley, MI 48072 Phone: 248-629-6565 |