Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 208200000X | Surgeon | 01084699A | IN |
Y | 208600000X | Surgeon | 01084699A | IN |
N | 2082S0105X | Plastic Hand Surgeon | 2006022544 | MO |
N | 2086S0122X | Plastic and Reconstructive Surgery | 2006022544 | MO |
N | 2086S0127X | Trauma Surgeon | 2006022544 | MO |
NPI | 1275548125 |
---|---|
Provider Name | Dr. Gregory H Borschel |
First Address | Indianapolis, IN 46219-4959 |
Second Address | Indianapolis, IN 46202-5109 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 29/07/2006 |
Last Update Date | 04/12/2021 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
201268604 | (05) | MO |
I60731 | (02) |