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NPI Code Detail

MEDICARE: NATHALIA MILLAN-BORRERO MD

MEDICARE:   NATHALIA  MILLAN-BORRERO  MD
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1207R00000XInternal Medicine Physician24276PR
2207R00000XInternal Medicine Physician4351049179MI

General Provider Information

NPI Number : 1093465213
Entity Type Code : Individual
Provider Name (Legal Business Name) : NATHALIA MILLAN-BORRERO MD
Provider Business Mailing Address
First Line : 36500 S GRATIOT AVE STE 102
Second Line :
City : CLINTON TOWNSHIP
State : MI
Zip : 48035-1772
Country : US
Telephone Number : 586-790-9003
Fax Number : 586-493-3603
Provider Business Practice Location Address
First Line : 36500 S GRATIOT AVE STE 102
Second Line :
City : CLINTON TOWNSHIP
State : MI
Zip : 48035-1772
Country : US
Telephone Number : 586-790-9003
Fax Number : 586-493-3603
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 03/29/2022
Last Update Date : 03/11/2026

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Directions to “ NATHALIA MILLAN-BORRERO MD” Practice Location

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