Individual
DANIELLE BORNEISEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
207 SCHOOL HOUSE DR, IMLAY CITY, MI 48444-1241
(810) 417-1426
Mailing address
207 SCHOOL HOUSE DR, IMLAY CITY, MI 48444-1241
(810) 417-1426
Taxonomy
Speciality
Code
Description
License number
State
247200000X
Other Technician
Primary
—
—
Other
Enumeration date
05/11/2016
Last updated
05/11/2016
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