Organization · Type 2 NPI
Kenneth A Borenitsch D O P C
General Practice Physician · Manistee, MI
NPI number
1407120165
Active
Practice location
1237 E Parkdale Ave, Suite 2
Manistee, MI 49660-9353
Fax (231) 398-0478
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| General Practice Physician Primary | 208D00000X | 5101007441 (MI) |
General Practice Physician: A physician who specializes in the general practice of diagnosing, treating, and managing patients with a variety of illnesses and conditions.
2 other providers at this address
About NPI 1407120165
Kenneth A Borenitsch D O P C's National Provider Identifier is 1407120165, issued on Feb 28, 2012. The primary taxonomy on file is General Practice Physician (208D00000X), and the practice location is in Manistee, MI. The record was last updated on Feb 27, 2014.