Individual
DR. WILLIAM D BORKON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
402 W LAKE ST, FRIENDSHIP, WI 53934-9699
(608) 339-3331
Mailing address
402 W LAKE ST, FRIENDSHIP, WI 53934-9699
(608) 339-3331
Taxonomy
Speciality
Code
Description
License number
State
208800000X
Urology Physician
25147
MN
208800000X
Urology Physician
Primary
67361-20
WI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
304505600
—
MN
Enumeration date
12/28/2005
Last updated
06/07/2017
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