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NPI Code Detail

MEDICARE: ADRIANNE BORLAND LAT, ATX

MEDICARE:   ADRIANNE  BORLAND  LAT, ATX
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
12255A2300XAthletic Trainer2601003100MI

General Provider Information

NPI Number : 1508755158
Entity Type Code : Individual
Provider Name (Legal Business Name) : ADRIANNE BORLAND LAT, ATX
Provider Business Mailing Address
First Line : 5536 RESEARCH DR STE A
Second Line :
City : CANTON
State : MI
Zip : 48188-2261
Country : US
Telephone Number :
Fax Number :
Provider Business Practice Location Address
First Line : 5536 RESEARCH DR STE A
Second Line :
City : CANTON
State : MI
Zip : 48188-2261
Country : US
Telephone Number : 734-895-1901
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 06/30/2025
Last Update Date : 06/30/2025

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Directions to “ ADRIANNE BORLAND LAT, ATX” Practice Location

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