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Individual

DR. BRIAN A BORDEN

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
MD

Contact information

Practice address
5315 ELLIOTT DR, STE 301, YPSILANTI, MI 48197-8634
(734) 572-4500
(734) 572-4529
Mailing address
24 FRANK LLOYD WRIGHT DR LBBY J2000, ANN ARBOR, MI 48105-9484

Taxonomy

Speciality
Code
Description
License number
State
207X00000X
Orthopaedic Surgery Physician
4301070777
MI
207XX0005X
Sports Medicine (Orthopaedic Surgery) Physician
Primary
4301070777
MI

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
3375351
MI
Enumeration date
08/09/2005
Last updated
03/14/2019
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