Provider Demographics
NPI:1841210259
Name:BOROWSKI, WESLEY A (MD)
Entity Type:Individual
Prefix:
First Name:WESLEY
Middle Name:A
Last Name:BOROWSKI
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:712 SOUTH CASCADE STREET
Mailing Address - Street 2:
Mailing Address - City:FERGUS FALLS
Mailing Address - State:MN
Mailing Address - Zip Code:56537-2813
Mailing Address - Country:US
Mailing Address - Phone:218-736-8000
Mailing Address - Fax:218-739-6742
Practice Address - Street 1:712 SOUTH CASCADE STREET
Practice Address - Street 2:
Practice Address - City:FERGUS FALLS
Practice Address - State:MN
Practice Address - Zip Code:56537-2813
Practice Address - Country:US
Practice Address - Phone:218-736-8000
Practice Address - Fax:218-739-6742
Is Sole Proprietor?:No
Enumeration Date:2006-07-20
Last Update Date:2017-02-15
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MN44921207Q00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207Q00000XAllopathic & Osteopathic PhysiciansFamily Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
MN096M3BOOtherBCBS NUMBER
OR274998Medicaid
WI8230100Medicaid
MN01-09529OtherMEDICA NUMBER
NE41091744413Medicaid
MN611827500Medicaid
IN200444980Medicaid
MN01-27609OtherWAB-MEDICA-ASH
MN1031139OtherPREFERRED ONE NUMBER
ND17306Medicaid
MN169591OtherUCARE NUMBER
MNHP35941OtherHEALTHPARTNERS NUMBER
MN01-27609OtherWAB-MEDICA-ASH
IN200444980Medicaid
MNHP35941OtherHEALTHPARTNERS NUMBER
MN169591OtherUCARE NUMBER