Individual
GARY A BORCHERT
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
273 W BROADWAY ST, SHELBYVILLE, IN 46176-1101
(317) 398-8299
(317) 398-8411
Mailing address
273 W BROADWAY ST, SHELBYVILLE, IN 46176-1101
(317) 398-8299
(317) 398-8411
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
18002294
IN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
100464100A
—
IN
Enumeration date
10/12/2006
Last updated
07/26/2012
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