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Individual
DR. SCOTT THOMAS BORMANN
Active
Individual
DR. SCOTT THOMAS BORMANN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
D.O.
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
0102203115
VA
207Q00000X
Family Medicine Physician
02004193A
IN
207Q00000X
Family Medicine Physician
Primary
67139
WI
Other
Enumeration date
08/17/2010
Last updated
11/16/2020
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