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JEFFREY S BORDERS

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
MD

Contact information

Practice address
303 S MAIN ST STE 200, MISHAWAKA, IN 46544-2160
(574) 398-2090
(574) 807-6752
Mailing address
303 S MAIN ST STE 200, MISHAWAKA, IN 46544-2160
(574) 398-2090
(574) 807-6752

Taxonomy

Speciality
Code
Description
License number
State
208600000X
Surgery Physician
Primary
01058854A
IN
2086S0129X
Vascular Surgery Physician
10158854A
IN

Other

Enumeration date
12/29/2005
Last updated
03/02/2023
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