Provider Demographics
NPI:1962415398
Name:BOROWSKI, DEBORAH A (DO PC)
Entity type:Individual
Prefix:
First Name:DEBORAH
Middle Name:A
Last Name:BOROWSKI
Suffix:
Gender:F
Credentials:DO PC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
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Other - Credentials:
Mailing Address - Street 1:30700 TELEGRAPH RD STE 1645
Mailing Address - Street 2:
Mailing Address - City:BINGHAM FARMS
Mailing Address - State:MI
Mailing Address - Zip Code:48025-4525
Mailing Address - Country:US
Mailing Address - Phone:248-283-1100
Mailing Address - Fax:248-283-1103
Practice Address - Street 1:3455 LIVERNOIS ROAD
Practice Address - Street 2:
Practice Address - City:TROY
Practice Address - State:MI
Practice Address - Zip Code:48083
Practice Address - Country:US
Practice Address - Phone:248-480-0143
Practice Address - Fax:248-449-1092
Is Sole Proprietor?:No
Enumeration Date:2006-08-15
Last Update Date:2019-10-03
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MI5101012984207R00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207R00000XAllopathic & Osteopathic PhysiciansInternal Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
MI0P38060Medicare PIN
MI0P38050Medicare PIN
MIG93380Medicare UPIN