Individual
THOMAS J BORMANN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
DDS
Contact information
Practice address
220 COMMERCE SQ, MICHIGAN CITY, IN 46360-3282
(219) 872-1710
Mailing address
220 COMMERCE SQ, MICHIGAN CITY, IN 46360-3282
(219) 872-1710
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
12009455
IN
Other
Enumeration date
07/03/2006
Last updated
07/08/2007
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