Michael H. Borger, D.O.

Individual provider Active NPI Family Medicine Physician · Nappanee, IN

NPI 1528020716 · NPPES record last updated Apr 2, 2015

Key facts

NPI
1528020716
Entity type
Individual (NPI type 1)
Primary specialty
Family Medicine Physician 207Q00000X
License
02000607 (IN)
Practice address
1001 N Main St
Suite One
Nappanee, IN 46550-1038
Phone
(574) 773-4141
Fax
(574) 773-4898
NPI assigned
Apr 4, 2006
Sex
Male
Sole proprietor
No

Medicare participation

Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

Medicare enrollment (NPD)
Yes
Credentials
Doctor of Osteopathy

State licenses

LicenseStateTypeSpecialty
02000607INMDFamily Medicine Physician

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X 02000607 IN Yes

Addresses

Primary practice location

1001 N Main St
Suite One
Nappanee, IN 46550-1038

Mailing address

PO Box 996
Warsaw, IN 46581-0996
Phone (574) 372-7617

Other identifiers

IdentifierTypeStateIssuer
100367590MedicaidIN

Other providers in Nappanee, IN

All providers in Nappanee, IN · Family Medicine Physician in Indiana

Sources for this page

Verify at the official NPI Registry.