Individual
BROOKE ALICE BORGESON-GRAY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
NP
Contact information
Practice address
3147 LOGAN VALLEY RD, TRAVERSE CITY, MI 49684-4772
(231) 929-3111
(231) 946-0445
Mailing address
3147 LOGAN VALLEY RD, TRAVERSE CITY, MI 49684-4772
(231) 929-3111
(231) 946-0445
Taxonomy
Speciality
Code
Description
License number
State
363LC1500X
Community Health Nurse Practitioner
Primary
4704124111
MI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1447430236
—
MI
Enumeration date
11/08/2007
Last updated
07/22/2008
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