Individual
DR. CHRISTINA A BORYCZKA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
5200 DOUGLAS DR N, CRYSTAL, MN 55429-3104
(763) 400-3628
(763) 342-4183
Mailing address
2004 FORD PKWY, SAINT PAUL, MN 55116-1931
(612) 457-0216
(612) 457-0216
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
44514
MN
207R00000X
Internal Medicine Physician
Primary
44514
MN
207R00000X
Internal Medicine Physician
70122
WI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1053398255
—
MI
Enumeration date
12/28/2005
Last updated
09/14/2023
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