Individual
DR. SCOTT ROBERT BORKENHAGEN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
707 UNIVERSITY AVE, PSYCHIATRY, BEAVER DAM, WI 53916
(920) 887-7181
Mailing address
707 UNIVERSITY AVE, PSYCHIATRY, BEAVER DAM, WI 53916
(920) 887-7181
Taxonomy
Speciality
Code
Description
License number
State
2084P0800X
Psychiatry Physician
Primary
57017-20
WI
2084P0804X
Child & Adolescent Psychiatry Physician
57017-20
WI
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
04/19/2010
Last updated
03/07/2024
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