Individual
MARK W. BORKE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
1609 N ANKENY BLVD, 200, ANKENY, IA 50023-4165
(515) 964-2772
Mailing address
4319 GRAYS GABLE RD, LARAMIE, WY 82072-6979
(307) 742-1841
Taxonomy
Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
Primary
2803A
WY
Other
Enumeration date
08/23/2005
Last updated
10/26/2007
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