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1588683718
GLEN BORDAK
RACINE, WI
NPI
1588683718
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
207ZP0102X Pathology, Anatomic Pathology & Clinical Pathology
(Licence: WI 27568-020)
Enumeration Date
2006-07-19
Last Update Date
2007-07-09
Business Address
Dr. GLEN BORDAK M.D.
3801 SPRING ST
RACINE, WI 53405-1667
Phone number: 262-687-4100
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Mailing Address
Dr. GLEN BORDAK M.D.
1055 PRAIRIE DR # D
RACINE, WI 53406-3971
Phone number: 262-898-7100
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