Glen Bordak in Racine - Anatomic Pathology & Clinical Pathology
Glen Bordak - NPI 1588683718
Glen Bordak is a Anatomic Pathology & Clinical Pathology in Racine, Wisconsin. Glen Bordak practices all healthcare services and medical treatments related to Anatomic Pathology & Clinical Pathology. The NPI Number for Glen Bordak is 1588683718. The last update date is 2007-07-09.
Glen Bordak's current location address is 1055 Prairie Dr # D, Racine, Wisconsin. You can contact this provider via phone number 2628987100 and fax number 2628987171. The mailing address for Glen Bordak is 1055 Prairie Dr # D, Racine, Wisconsin. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Glen Bordak |
|---|---|
| Address | 1055 Prairie Dr # D, Racine, Wisconsin |
| Phone Number | 2628987100 |
| Fax Number | 2628987171 |
| Sole Proprietor | N |
| Credentials | M.D. |
NPI Number Detail
| NPI Number | 1588683718 |
|---|---|
| Provider Enumeration Date | 2006-07-19 |
| Last Updated Date | 2007-07-09 |
Provider Mailing Address Detail
| Address | 1055 Prairie Dr # D |
|---|---|
| City | Racine |
| State | Wisconsin (WI) |
| Post Code | 534063971 |
| Phone Number | 2628987100 |
| Fax Number | 2628987171 |
Provider's Primary Taxonomy Detail
| Speciality | Anatomic Pathology & Clinical Pathology |
|---|---|
| Taxonomy | 207Zp0102X |
| Licence No | 27568-020 |
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Definition: A pathologist deals with the causes and nature of disease and contributes to diagnosis, prognosis and treatment through knowledge gained by the laboratory application of the biologic, chemical and physical sciences. A pathologist uses information gat |
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Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| 31564100 | WI | -- |
Post Comment/ Review Below
What is the unique 10-digit identification code assigned to Glen Bordak by the Centers for Medicare & Medicaid Services?
The Glen Bordak has been issued the NPI (National Provider Identifier) 1588683718, which serves as a unique identifier for healthcare providers, assigned by the Centers for Medicare & Medicaid Services (CMS).
Could you please provide the complete street address where Glen Bordak is physically located?
The Glen Bordak is physically situated at the following address: 1055 Prairie Dr # D, Racine, WI, 534063971.
What is Glen Bordak's primary area of medical expertise, and what taxonomy classification code corresponds to this specialized field?
The primary area of medical expertise for Glen Bordak is Anatomic Pathology & Clinical Pathology, and the corresponding taxonomy classification code for this specialized field is 207Zp0102X.
On what date did the Centers for Medicare & Medicaid Services issue the 1588683718 to Glen Bordak?
The Glen Bordak received its 1588683718 assignment from the Centers for Medicare & Medicaid Services on 2006-07-19.
As of what date were the details pertaining to Glen Bordak last refreshed?
The information related to the Glen Bordak, including its address, specialty, and other relevant details, was last updated on 2007-07-09.