Individual
JANE MAUREEN BORUTA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
2050 N HAGGERTY RD, STE120, CANTON, MI 48187-3795
(734) 981-1086
(734) 981-2259
Mailing address
2050 N HAGGERTY RD, STE120, CANTON, MI 48187-3795
(734) 981-1086
(734) 981-2259
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
4301055909
MI
Other
Enumeration date
06/13/2016
Last updated
06/13/2016
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