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NPI Code Detail

MEDICARE: DR. MARILYN J BORST M.D.

MEDICARE:  DR. MARILYN J BORST  M.D.
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
1208600000XSurgery PhysicianMD2020-0182NM
2208600000XSurgery Physician56138WI
3208600000XSurgery PhysicianMD057727LPA
42086S0102XSurgical Critical Care Physician35085381OH
52086S0102XSurgical Critical Care PhysicianMD057727LPA
62086S0127XTrauma Surgery Physician85381OH
7208C00000XColon & Rectal Surgery Physician85381OH
8208C00000XColon & Rectal Surgery PhysicianMD057727LPA
9208600000XSurgery Physician35085381OH

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number : 1134123003
Entity Type Code : Individual
Provider Name (Legal Business Name) : DR. MARILYN J BORST M.D.
Provider Business Mailing Address
First Line : 700 S PARK ST
Second Line :
City : MADISON
State : WI
Zip : 53715-1830
Country : US
Telephone Number : 608-251-6100
Fax Number :
Provider Business Practice Location Address
First Line : 700 S PARK ST
Second Line :
City : MADISON
State : WI
Zip : 53715-1830
Country : US
Telephone Number : 608-251-6100
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 06/09/2005
Last Update Date : 03/15/2023

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Directions to “ DR. MARILYN J BORST M.D.” Practice Location

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