Individual
DR. MARILYN J BORST
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
700 S PARK ST, MADISON, WI 53715-1830
(608) 251-6100
Mailing address
700 S PARK ST, MADISON, WI 53715-1830
(608) 251-6100
Taxonomy
Speciality
Code
Description
License number
State
208600000X
Surgery Physician
Primary
35085381
OH
208600000X
Surgery Physician
56138
WI
208600000X
Surgery Physician
MD057727L
PA
208600000X
Surgery Physician
MD2020-0182
NM
2086S0102X
Surgical Critical Care Physician
35085381
OH
2086S0102X
Surgical Critical Care Physician
MD057727L
PA
2086S0127X
Trauma Surgery Physician
85381
OH
208C00000X
Colon & Rectal Surgery Physician
85381
OH
208C00000X
Colon & Rectal Surgery Physician
MD057727L
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1134123003
—
WI
Enumeration date
06/09/2005
Last updated
03/15/2023
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