Individual
DR. BRET DAVID BORCHELT
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
4622 COUNTRY CLUB RD, STE 180, WINSTON-SALEM, NC 27104-3770
(336) 768-9535
(336) 768-4155
Mailing address
PO BOX 60447, CHARLOTTE, NC 28260-0447
(704) 384-9094
Taxonomy
Speciality
Code
Description
License number
State
208G00000X
Thoracic Surgery (Cardiothoracic Vascular Surgery) Physician
Primary
200000364
NC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
89127N1
—
NC
Enumeration date
12/21/2005
Last updated
10/28/2020
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