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NPI Code Detail

MEDICARE: DR. PETER MICHAEL BORUTA MD

MEDICARE: DR. PETER MICHAEL BORUTA 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
1207X00000XOrthopaedic Surgery Physician4301030726MI

General Provider Information

NPI Number : 1285601393
Entity Type Code : Individual
Provider Name (Legal Business Name) : DR. PETER MICHAEL BORUTA MD
Provider Business Mailing Address
First Line : 3100 CROSS CREEK PKWY
Second Line : SUITE 200
City : AUBURN HILLS
State : MI
Zip : 48326-2774
Country : US
Telephone Number : 248-377-8000
Fax Number : 248-377-2929
Provider Business Practice Location Address
First Line : 3100 CROSS CREEK PKWY
Second Line : SUITE 200
City : AUBURN HILLS
State : MI
Zip : 48326-2774
Country : US
Telephone Number : 248-377-8000
Fax Number : 248-377-2929
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 03/07/2006
Last Update Date : 11/18/2024

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