Jeffrey S Borders, MD
Surgery in Mishawaka, IN. Individual provider (NPI-1).
NPI number1861479941
StatusActive
Last updated in NPPESMar 2, 2023
Details
- NPI
- 1861479941
- Entity type
- Individual (NPI-1)
- Name
- Jeffrey S Borders
- Credential
- MD
- Sex
- Male
- Sole proprietor
- No
- Enumeration date
- Dec 29, 2005
- Certification date
- Mar 2, 2023
- Last updated
- Mar 2, 2023
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 208600000X | Surgery | 01058854A | IN | Yes |
| 2086S0129X | 10158854A | IN |
Practice location
303 S Main St Ste 200Mishawaka, IN 46544-2160
Phone 574-398-2090 · Fax 574-807-6752
Mailing address
303 S Main St Ste 200Mishawaka, IN 46544-2160
Phone 574-398-2090 · Fax 574-807-6752
Other practice locations
615 Fulmer Rd
Mishawaka, IN 46544-6911
Mishawaka, IN 46544-6911
Phone 574-398-2090 · Fax 574-807-6752
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