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1790720100
DIANNA L BORDEWICK
GREEN BAY, WI
NPI
1790720100
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Former Name
DIANNA L MYERS
Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
207W00000X Ophthalmology
(Licence: WI 41090)
Enumeration Date
2006-06-19
Last Update Date
2008-08-28
Business Address
-- DIANNA L BORDEWICK MD
2253 W MASON ST STE 100
GREEN BAY, WI 54303-4706
Phone number: 920-327-7000
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Mailing Address
-- DIANNA L BORDEWICK MD
2253 W MASON ST STE 100 PO BOX 13097
GREEN BAY, WI 54307-3097
Phone number: 920-327-7000
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