Provider Demographics
NPI:1174569396
Name:BOROWSKY, IRIS WAGMAN (MD, PHD)
Entity type:Individual
Prefix:DR
First Name:IRIS
Middle Name:WAGMAN
Last Name:BOROWSKY
Suffix:
Gender:F
Credentials:MD, PHD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:UNIVERSITY OF MINNESOTA PHYSICIANS
Mailing Address - Street 2:MCNAMARA ALUMNI CENTER, 200 OAK STREET SE, SUITE 260
Mailing Address - City:MINNEAPOLIS
Mailing Address - State:MN
Mailing Address - Zip Code:55455
Mailing Address - Country:US
Mailing Address - Phone:612-626-2820
Mailing Address - Fax:612-624-0997
Practice Address - Street 1:2001 BLOOMINGTON AVE
Practice Address - Street 2:
Practice Address - City:MINNEAPOLIS
Practice Address - State:MN
Practice Address - Zip Code:55404-3074
Practice Address - Country:US
Practice Address - Phone:612-301-3433
Practice Address - Fax:612-627-4205
Is Sole Proprietor?:No
Enumeration Date:2006-06-22
Last Update Date:2014-10-24
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MN37597208000000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes208000000XAllopathic & Osteopathic PhysiciansPediatrics
Provider Identifiers
StateIdentifier IDID TypeIssuer
MN1007256OtherPREFERRED ONE
MN12-00069OtherMEDICA CHOICE
MN8T586BOOtherBCBS
MN768033OtherARAZ
MN869315300Medicaid
IA0956052Medicaid
MT0051857Medicaid
MNHP10158OtherHEALTHPARTNERS
MN12-74806OtherMEDICA PRIMARY
MN108191OtherUCARE
MN8T586BOOtherBCBS
MN768033OtherARAZ