| Frederick W. Born | |
|
4077 S Cleveland Ave Saint Joseph MI 49085-9513 | |
| (269) 429-2992 | |
| (269) 429-3372 |
| Full Name | Frederick W. Born |
|---|---|
| Speciality | Family Medicine |
| Location | 4077 S Cleveland Ave, Saint Joseph, Michigan |
| Authorized Official Name and Position | Frederick W. Born (PHYSICIAN) |
| Authorized Official Contact | 2694292992 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Frederick W. Born 4077 S Cleveland Ave Saint Joseph MI 49085-9513 Ph: (269) 429-2992 | Frederick W. Born 4077 S Cleveland Ave Saint Joseph MI 49085-9513 Ph: (269) 429-2992 |
| NPI Number | 1306233242 |
|---|---|
| Provider Enumeration Date | 04/17/2015 |
| Last Update Date | 04/17/2015 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1306233242 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | 5101009712 (Michigan) | Primary |
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