RANDY M BORK

LAPEER, MI
NPI1942291893
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy207Q00000X Family Medicine
(Licence: MI  5101006422)
Enumeration Date2005-10-31
Last Update Date2007-07-08
Business Address
Dr. RANDY M BORK DO
1254 N MAIN ST
LAPEER, MI 48446-1343
Phone number: 810-664-4531
Mailing Address
Dr. RANDY M BORK DO
401 S BALLENGER HWY
FLINT, MI 48532-3638
Phone number: 810-342-1000