-- ETHAN ALEKSANDR BORK DO
Individual Provider (NPI-1)
Active
Psychiatry & Neurology, Psychiatry
Provider Information
- NPI Number
1073204665- Provider Type
- Individual Provider (NPI-1)
- Credentials
- DO
- Status
- Active
Contact & Location
- Address
- 18101 OAKWOOD BLVD, DEARBORN, MI, 481244089
- Phone
- (313) 593-7000
Specialties & Taxonomies
Psychiatry & Neurology, Psychiatry
Primary License: MI #5151016273APP23