Scott Robert Borkenhagen M.D.

NPI 1083930879 - Student in an Organized Health Care Education/Training Program - 390200000X

NPI Details
NPI 1083930879
Gender Male
Enumeration Date 04/19/2010
Last Updated 04/19/2010
Entity Type Individual
Active Over 6 years ago
Practice Location
384 WILLOW GROVE DR.
UNIT D
PEWAUKEE WI, 53072, US
Phone (262) 490-2147
Fax
Business Location
384 WILLOW GROVE DR.
UNIT D
PEWAUKEE WI, 53072, US
Phone (262) 490-2147
Fax
Toxanomy
Taxonomy Code 390200000X
License State
License Number
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According to our database, Dr. Scott Robert Borkenhagen M.D. NPI is 1083930879, taxonomy code is 390200000X Scott Robert Borkenhagen M.D. physically located at 384 Willow Grove Dr., Pewaukee WI, 53072. NPI Number Scott Robert Borkenhagen M.D. has the Individual type.

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1083930879 NPI number is provided on an as is basis without warranty of any kind. 1083930879 is maintained by the National Plan & Provider Enumeration System. The contents of Scott Robert Borkenhagen M.D. are for informational purposes only.