Individual
BORA YOU
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
2414 KOHLER MEMORIAL DR, SHEBOYGAN, WI 53081-3129
(920) 457-4461
(920) 459-1483
Mailing address
3301 W FOREST HOME AVE, MILWAUKEE, WI 53215-2843
(920) 457-4461
(920) 459-1483
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
73535
WI
207Q00000X
Family Medicine Physician
R-10657
IA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
100101575
—
WI
Enumeration date
06/17/2016
Last updated
11/24/2021
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