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NPI Code Detail

MEDICARE: RONALD J BOROWICZ MD

MEDICARE: RONALD J BOROWICZ 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
1207Q00000XFamily Medicine Physician23020MN
2207Q00000XFamily Medicine Physician3761ND

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 : 1588681589
Entity Type Code : Individual
Provider Name (Legal Business Name) : RONALD J BOROWICZ MD
Provider Business Mailing Address
First Line : PO BOX 2010
Second Line :
City : FARGO
State : ND
Zip : 58122-0605
Country : US
Telephone Number :
Fax Number :
Provider Business Practice Location Address
First Line : 1220 SHEYENNE ST
Second Line :
City : WEST FARGO
State : ND
Zip : 58078-2637
Country : US
Telephone Number : 701-234-4446
Fax Number : 701-282-4455
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 07/16/2006
Last Update Date : 01/06/2012

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