Individual
DR. VINCENT DANIEL BORLA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
D.O.
Contact information
Practice address
4201 SAINT ANTOINE ST, DETROIT, MI 48201-2153
(313) 745-3040
Mailing address
4479 STRATFORD DR, WARREN, MI 48092-3039
(517) 420-8500
Taxonomy
Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
Primary
5101016609
MI
Other
Enumeration date
04/26/2008
Last updated
04/26/2008
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