MEDICARE: DR. MICHAEL H. BORGER D.O.

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	207Q00000X	Family Medicine Physician	02000607	IN

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number	:	1528020716
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. MICHAEL H. BORGER D.O.

Provider Business Mailing Address
First Line	:	PO BOX 996
Second Line	:
City	:	WARSAW
State	:	IN
Zip	:	46581-0996
Country	:	US
Telephone Number	:	574-372-7617
Fax Number	:	574-372-7649

Provider Business Practice Location Address
First Line	:	1001 N MAIN ST
Second Line	:	SUITE ONE
City	:	NAPPANEE
State	:	IN
Zip	:	46550-1038
Country	:	US
Telephone Number	:	574-773-4141
Fax Number	:	574-773-4898

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	04/04/2006
Last Update Date	:	04/02/2015

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