Individual
VINCENT BORKOWSKI
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD, PHD
Contact information
Practice address
600 WALNUT RIDGE DR, HARTLAND, WI 53029-9385
(262) 369-7040
Mailing address
600 WALNUT RIDGE DR, HARTLAND, WI 53029-9385
(262) 369-7040
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
76445-20
WI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
100101112
—
WI
Enumeration date
04/02/2020
Last updated
10/06/2023
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