Individual
DR. KEENAN M BORA
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
5301 EAST HURON RIVER DRIVE, ANN ARBOR, MI 48106-0995
(734) 712-3962
(734) 712-5178
Mailing address
2000 GREEN ROAD, SUITE 250, ANN ARBOR, MI 48105-1571
Taxonomy
Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
Primary
4301086315
MI
207PT0002X
Medical Toxicology (Emergency Medicine) Physician
4301086315
MI
Other
Enumeration date
03/03/2008
Last updated
05/26/2015
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