Individual
DR. HARRY ROBERT BOROVIK
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
1000 HEALTH CENTER DR STE 401, MATTOON, IL 61938-4648
(217) 258-2409
(217) 258-2323
Mailing address
12679 S WEST BAY SHORE DR, TRAVERSE CITY, MI 49684-5271
(231) 499-6882
Taxonomy
Speciality
Code
Description
License number
State
207Y00000X
Otolaryngology Physician
Primary
036067098
IL
207Y00000X
Otolaryngology Physician
HB052140
MI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0280198
BCBS
MI
05
—
1850468
—
MI
01
—
383381206
PRIORITY HEALTH TAX ID
MI
Enumeration date
10/23/2006
Last updated
12/07/2023
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