Individual
CANDACE BORDERS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
2311 N PROSPECT AVE, MILWAUKEE, WI 53211-4445
(414) 319-3000
Mailing address
2311 N PROSPECT AVE, MILWAUKEE, WI 53211-4445
(414) 319-3000
Taxonomy
Speciality
Code
Description
License number
State
208M00000X
Hospitalist Physician
Primary
76570-20
WI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
100203893
—
WI
Enumeration date
03/21/2018
Last updated
10/18/2024
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