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Individual

MR. STUART H. BORKEN

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
MD

Contact information

Practice address
825 SOUTH 8TH STREET, SUITE 600, ATTN: PARKSIDE PROFESSIONAL BLDG., MINNEAPOLIS, MN 55404
(612) 339-7171
(612) 339-2885
Mailing address
825 SOUTH 8TH STREET, SUITE 600, ATTN: PARKSIDE PROFESSIONAL BLDG., MINNEAPOLIS, MN 55404
(612) 339-7171
(612) 339-2885

Taxonomy

Speciality
Code
Description
License number
State
207RG0100X
Gastroenterology Physician
Primary
17696
MN

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
0406696
MEDICA
MN
01
110185091
RR MEDICARE
MN
05
396068400
MN
01
NP19648
HEALTH PARTNERS
MN
Enumeration date
07/20/2005
Last updated
03/24/2011
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