Courtney L Bork, MD
Family Medicine in Rice Lake, WI. Individual provider (NPI-1).
NPI number1255912937
StatusActive
Last updated in NPPESSep 17, 2025
Details
- NPI
- 1255912937
- Entity type
- Individual (NPI-1)
- Name
- Courtney L Bork
- Credential
- MD
- Sex
- Female
- Sole proprietor
- No
- Enumeration date
- Apr 15, 2021
- Certification date
- Sep 17, 2025
- Last updated
- Sep 17, 2025
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 207Q00000X | Family Medicine | MD-52909 | IA | Yes |
| 207Q00000X | Family Medicine | 81162 | WI |
Practice location
1700 W Stout StRice Lake, WI 54868-5000
Phone 715-236-8100
Mailing address
1700 W Stout StRice Lake, WI 54868-5000
Phone 715-236-8100
Other practice locations
1201 3rd Ave Se
Cedar Rapids, IA 52403-4009
Cedar Rapids, IA 52403-4009
Phone 319-730-7300
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