Bork, Michael D

Bork, Michael D is an individual health care provider with primary practice located at 2333 Biddle Ave , Wyandotte MI 48192-4668. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Obstetrics & Gynecology, Allopathic & Osteopathic Physicians / Maternal & Fetal Medicine. Allopathic & Osteopathic Physicians / Maternal & Fetal Medicine is his primary health care specialty. Bork, Michael D can be contacted via phone (734) 246-8895.

Contact Information

Primary practice address
2333 Biddle Ave Wyandotte MI 48192-4668
Phone: (734) 246-8895
Fax: (734) 324-3404
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Obstetrics & Gynecology 207V00000X 5101010520 Michigan
Allopathic & Osteopathic Physicians / Maternal & Fetal Medicine 207VM0101X 5101010520 Michigan

Profile Details

NPI number 1659342152
LBN Legal business name Bork, Michael D
Credentials Doctor of Osteopathy (DO)
Entity Individual
Sole proprietor 1 No
Enumeration date Feb 1st, 2006
Last updated Feb 21st, 2017 - about 7 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1659342152 NPPES
Michigan Other 382791823 TAX ID
Michigan Other 0H24657 TAX ID
Michigan Other F67493 TAX ID

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