Provider Demographics
NPI:1023295268
Name:BORGENDALE-POTCHINSKY, TOVE NIKOL (TOVE BORGENDALE)
Entity type:Individual
Prefix:MS
First Name:TOVE
Middle Name:NIKOL
Last Name:BORGENDALE-POTCHINSKY
Suffix:
Gender:F
Credentials:TOVE BORGENDALE
Other - Prefix:MS
Other - First Name:TOVE
Other - Middle Name:NIKOL
Other - Last Name:BORGENDALE
Other - Suffix:
Other - Last Name Type:Professional Name
Other - Credentials:CMT
Mailing Address - Street 1:4940 VIKING DR
Mailing Address - Street 2:SUITE 212
Mailing Address - City:EDINA
Mailing Address - State:MN
Mailing Address - Zip Code:55435-5300
Mailing Address - Country:US
Mailing Address - Phone:952-832-0111
Mailing Address - Fax:
Practice Address - Street 1:4940 VIKING DR
Practice Address - Street 2:SUITE 212
Practice Address - City:EDINA
Practice Address - State:MN
Practice Address - Zip Code:55435-5300
Practice Address - Country:US
Practice Address - Phone:952-832-0111
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2008-01-30
Last Update Date:2008-01-30
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes174400000XOther Service ProvidersSpecialist