| NPI | 1619039682 |
|---|---|
| Doing Business As | BORGESS LEE MEDICAL GROUP |
| Entity Type | Organization |
| Authorized Contact | JOHN RYDER COO 269-783-3080 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QR1300X Clinic/Center, Rural Health |
| Additional Taxonomies | 261QR1300X Clinic/Center, Rural Health (Licence: MI sfe1414003186) |
| 261QR1300X Clinic/Center, Rural Health | |
| Enumeration Date | 2006-12-15 |
| Last Update Date | 2016-04-29 |