BO RA NAM

CROWN POINT, IN
NPI1164778379
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy208M00000X Hospitalist
(Licence: IN  01075472A)
Additional Taxonomies207Q00000X Family Medicine
(Licence: IN  01075472A)
207Q00000X Family Medicine
(Licence: PA  NAMMT201650)
Enumeration Date2012-07-25
Last Update Date2024-01-15
Business Address
BO RA NAM M.D.
12750 ST FRANCIS DR
CROWN POINT, IN 46307-0264
Phone number: 219-757-6121
Mailing Address
BO RA NAM M.D.
PO BOX 781076
DETROIT, MI 48278-1076
Phone number: 317-528-4800