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Individual

DR. DAVID T. BORTEL

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
M.D.

Contact information

Practice address
555 W WACKERLY ST, SUITE 2600, MIDLAND, MI 48640-4710
(989) 631-0512
(989) 631-7337
Mailing address
555 W WACKERLY ST, SUITE 2600, MIDLAND, MI 48640-4710
(989) 631-0512
(989) 631-7337

Taxonomy

Speciality
Code
Description
License number
State
207X00000X
Orthopaedic Surgery Physician
Primary
DB406272
MI

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
0560102
BCBS OF MICHIGAN
MI
05
3377857
MI
Enumeration date
08/10/2005
Last updated
12/02/2009
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