Organization
FREDERICK W. BORN
Active
Organization subpart
No
Provider details
NPI number
Authorized official
FREDERICK W. BORN D.O. (PHYSICIAN)
(269) 429-2992
Entity
Organization
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
5101009712
MI
Other
Enumeration date
04/17/2015
Last updated
04/17/2015
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