Organization
BORKOWF AND BORKOVEC MD SC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
TERRE M BORKOVEC MD (OWNER)
(414) 289-9668
Entity
Organization
Contact information
Practice address
2350 NORTH LAKE DRIVE, SUITE 500, MILWAUKEE, WI 53211-4507
(414) 289-9669
(414) 289-9693
Mailing address
2350 NORTH LAKE DRIVE, SUITE 500, MILWAUKEE, WI 53211-4507
(414) 289-9669
(414) 289-9693
Taxonomy
Speciality
Code
Description
License number
State
207V00000X
Obstetrics & Gynecology Physician
Primary
27123
WI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
398682808
—
WI
Enumeration date
04/21/2008
Last updated
01/28/2009
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