Healthcare Provider Details

I. General information

NPI: 1851408728
Provider Name (Legal Business Name): KRISTI SUE BOROWSKI MD
Entity Type: Individual
Gender: Female
Sole Proprietor: N

Provider Other Name: KRISTI BURNS

II. Dates (important events)

Enumeration Date: 08/24/2006
Last Update Date: 03/08/2022
Certification Date: 03/08/2022
Deactivation Date:
Reactivation Date:

III. Provider practice location address

11475 ROBINSON DR NW
COON RAPIDS MN
55433-3746
US

IV. Provider business mailing address

8170 33RD AVE S MS 21110Q
BLOOMINGTON MN
55425-4516
US

V. Phone/Fax

Practice location:
  • Phone: 763-587-9000
  • Fax: 763-587-9130
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code207V00000X
TaxonomyObstetrics & Gynecology Physician
License Number43606
License Number StateMN
# 2
Primary TaxonomyN
Taxonomy Code207VX0000X
TaxonomyObstetrics Physician
License Number35551
License Number StateIA
# 3
Primary TaxonomyY
Taxonomy Code207VM0101X
TaxonomyMaternal & Fetal Medicine Physician
License Number43606
License Number StateMN

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: