Individual
COURTNEY L BORK
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
1700 W STOUT ST, RICE LAKE, WI 54868-5000
(715) 236-8100
Mailing address
1700 W STOUT ST, RICE LAKE, WI 54868-5000
(715) 236-8100
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
81162
WI
207Q00000X
Family Medicine Physician
Primary
MD-52909
IA
Other
Enumeration date
04/15/2021
Last updated
09/17/2025
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