Individual
IAN BORGELT
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
1029 W CENTRAL ENTRANCE, DULUTH, MN 55811-5477
(218) 624-2794
Mailing address
7825 3RD ST N STE 105, OAKDALE, MN 55128-5444
(952) 835-4512
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
—
—
Other
Enumeration date
06/19/2018
Last updated
06/19/2018
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