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NPI Code Detail

MEDICARE: HEATHER A BORS

MEDICARE: HEATHER A BORS
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
1246ZC0007XSurgical Assistant

General Provider Information

NPI Number : 1790935492
Entity Type Code : Individual
Provider Name (Legal Business Name) : HEATHER A BORS
Provider Business Mailing Address
First Line : 1537 PARK PL SUITE 200
Second Line : WOMENS HEALTH CARE OB-GYN, S.C.
City : GREEN BAY
State : WI
Zip : 54304
Country : US
Telephone Number : 920-498-8650
Fax Number :
Provider Business Practice Location Address
First Line : 1537 PARK PL
Second Line : SUITE 200
City : GREEN BAY
State : WI
Zip : 54304-1974
Country : US
Telephone Number : 920-498-8650
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 09/30/2008
Last Update Date : 09/30/2008

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Directions to “ HEATHER A BORS ” Practice Location

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