Provider Demographics
NPI:1487653564
Name:BORKEN, STUART H (MD)
Entity Type:Individual
Prefix:MR
First Name:STUART
Middle Name:H
Last Name:BORKEN
Suffix:
Gender:M
Credentials:MD
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Mailing Address - Street 1:825 SOUTH 8TH STREET
Mailing Address - Street 2:SUITE 600, ATTN: PARKSIDE PROFESSIONAL BLDG.
Mailing Address - City:MINNEAPOLIS
Mailing Address - State:MN
Mailing Address - Zip Code:55404
Mailing Address - Country:US
Mailing Address - Phone:612-339-7171
Mailing Address - Fax:612-339-2885
Practice Address - Street 1:825 SOUTH 8TH STREET
Practice Address - Street 2:SUITE 600, ATTN: PARKSIDE PROFESSIONAL BLDG.
Practice Address - City:MINNEAPOLIS
Practice Address - State:MN
Practice Address - Zip Code:55404
Practice Address - Country:US
Practice Address - Phone:612-339-7171
Practice Address - Fax:612-339-2885
Is Sole Proprietor?:No
Enumeration Date:2005-07-20
Last Update Date:2011-03-24
Deactivation Date:
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Provider Licenses
StateLicense IDTaxonomies
MN17696207RG0100X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207RG0100XAllopathic & Osteopathic PhysiciansInternal MedicineGastroenterology
Provider Identifiers
StateIdentifier IDID TypeIssuer
MNNP19648OtherHEALTH PARTNERS
MN110185091OtherRR MEDICARE
MN396068400Medicaid
MN0406696OtherMEDICA
MN110185091OtherRR MEDICARE
D81852Medicare UPIN