Individual
MCKENZIE BORMANN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
106 S MAIN ST, PLANKINTON, SD 57368-2264
(605) 942-7711
(866) 423-6811
Mailing address
26540 392ND AVE, STICKNEY, SD 57375-6216
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
—
—
Other
Enumeration date
08/30/2021
Last updated
10/11/2022
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