Individual
WILLIAM J BORDERS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
1007 W RUDISILL BLVD, FORT WAYNE, IN 46807-2170
(260) 425-5180
(260) 425-5210
Mailing address
11109 PARKVIEW PLAZA DR # 117, FORT WAYNE, IN 46845-1701
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
71009025A
IN
Other
Enumeration date
05/03/2019
Last updated
07/03/2025
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