Basic Information
| Provider Information | |||||||||
| NPI: | 1841210259 | ||||||||
| EntityType: | 1 | ||||||||
| ReplacementNPI: | |||||||||
| OrganizationName: | |||||||||
| LastName: | BOROWSKI | ||||||||
| FirstName: | WESLEY | ||||||||
| MiddleName: | A | ||||||||
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| Credential: | MD | ||||||||
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| Mailing Information | |||||||||
| Address1: | 712 SOUTH CASCADE STREET | ||||||||
| Address2: | |||||||||
| City: | FERGUS FALLS | ||||||||
| State: | MN | ||||||||
| PostalCode: | 565372813 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 2187368000 | ||||||||
| FaxNumber: | 2187396742 | ||||||||
| Practice Location | |||||||||
| Address1: | 712 SOUTH CASCADE STREET | ||||||||
| Address2: | |||||||||
| City: | FERGUS FALLS | ||||||||
| State: | MN | ||||||||
| PostalCode: | 565372813 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 2187368000 | ||||||||
| FaxNumber: | 2187396742 | ||||||||
| Other Information | |||||||||
| ProviderEnumerationDate: | 07/20/2006 | ||||||||
| LastUpdateDate: | 02/15/2017 | ||||||||
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| ProviderGenderCode: | M | ||||||||
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| IsSoleProprietor: | N | ||||||||
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Taxonomy Information
| Taxonomy | License | State | Switch | TaxonomyGroup | TaxonomyType | TaxonomyClass | SubSpecialty | 207Q00000X | 44921 | MN | Y | Allopathic & Osteopathic Physicians | Family Medicine |
ID Information
| ID | Type | State | Issuer | Description | 096M3BO | 01 | MN | BCBS NUMBER | OTHER | 274998 | 05 | OR | MEDICAID | 8230100 | 05 | WI | MEDICAID | 01-09529 | 01 | MN | MEDICA NUMBER | OTHER | 41091744413 | 05 | NE | MEDICAID | 611827500 | 05 | MN | MEDICAID | 200444980 | 05 | IN | MEDICAID | 01-27609 | 01 | MN | WAB-MEDICA-ASH | OTHER | 1031139 | 01 | MN | PREFERRED ONE NUMBER | OTHER | 17306 | 05 | ND | MEDICAID | 169591 | 01 | MN | UCARE NUMBER | OTHER | HP35941 | 01 | MN | HEALTHPARTNERS NUMBER | OTHER |