Individual
JOSHUA BORNEMANN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
135 WASHINGTON AVE, BAY CITY, MI 48708-5845
(989) 895-2802
Mailing address
135 WASHINGTON AVE, BAY CITY, MI 48708-5845
Taxonomy
Speciality
Code
Description
License number
State
163WP0808X
Psychiatric/Mental Health Registered Nurse
Primary
4704304023
MI
Other
Enumeration date
07/17/2014
Last updated
07/17/2014
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