Individual provider · Type 1 NPI

Susan Elaine Borregard, P.A.

Surgical Physician Assistant · Muncie, IN

NPI number 1184624801 Active

Practice location

2525 W University Ave
Muncie, IN 47303-3421

Mailing address

1200 W White River Blvd, Rcs Provider Enrollment
Muncie, IN 47303-4988

Other practice locations

  • 611 E Douglas Rd, Suite 402, Mishawaka, IN 46545-1464 · (574) 335-6700

Specialties and licenses

TaxonomyCodeLicense
Physician Assistant 363A00000X10000623A (IN)
Surgical Physician Assistant 363AS0400X085001844 (IL)
Surgical Physician Assistant Primary 363AS0400X10000623A (IN)

Surgical Physician Assistant: Definition to come...

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About NPI 1184624801

Susan Elaine Borregard, P.A.'s National Provider Identifier is 1184624801, issued on Jul 22, 2005. The primary taxonomy on file is Surgical Physician Assistant (363AS0400X), and the practice location is in Muncie, IN. The record was last updated on Mar 19, 2021.