Individual
BRADLEY JAMES BORGEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
APNP
Contact information
Practice address
2105 E ENTERPRISE AVE, APPLETON, WI 54913-7862
(920) 560-1000
(920) 731-6732
Mailing address
2105 E ENTERPRISE AVE, APPLETON, WI 54913-7862
(920) 560-1000
(920) 731-6732
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
2379
WI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
41186200
—
WI
Enumeration date
05/17/2006
Last updated
12/19/2024
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