Individual
HEIDI BORUCKI
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA-C
Contact information
Practice address
2751 BAY PARK DR STE 201, OREGON, OH 43616-4922
(419) 690-8811
(419) 697-6750
Mailing address
333 N SUMMIT ST FL 7, TOLEDO, OH 43604-1531
(419) 690-8811
(419) 697-6750
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
50.006491RX
OH
363A00000X
Physician Assistant
5601008128
MI
Other
Enumeration date
02/09/2017
Last updated
11/03/2023
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