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Contact Information

MICHAEL D BORK, DO
2333 BIDDLE AVE
WYANDOTTE, MI48192-4668
 Phone: 734-246-8895
 Fax: 734-324-3404
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Maternal & Fetal Medicine

207VM0101X 16 Physician/Obstetrics & Gynecology
 

Obstetrics & Gynecology

207V00000X 16 Physician/Obstetrics & Gynecology
Indicates primary specialty

NPI Profile & details for MICHAEL D BORK · (Male)

NPI Number 1659342152
Status Active
Credentials DO (Doctor of Osteopathic)
Entity Individual
Enumeration date 02/01/2006
Last updated 02/21/2017 - About 9 years ago
Sole proprietor 1 No
Identifiers
  • MI License # 5101010520
  • MI Other 0H24657 BLUE CROSS
  • MI Other 382791823 TAX ID
  • MI Other F67493 UPIN
Hospital affiliation(s)
  • HURLEY MEDICAL CENTER - (Acute Care)
    ONE HURLEY PLAZA
    FLINT, MI 48503
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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