Individual
DR. FREDERICK WILLIAM BORN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
D.O.
Contact information
Practice address
4077 S CLEVELAND AVE, SAINT JOSEPH, MI 49085-9513
(269) 429-2992
(269) 429-3372
Mailing address
4077 S CLEVELAND AVE, SAINT JOSEPH, MI 49085-9513
(269) 429-2992
(269) 429-3372
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
510 100 9712
MI
Other
Enumeration date
07/27/2005
Last updated
10/27/2011
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