CLARK BOREN JR., MD

Surgery - Vascular Surgery

Active Individual
NPI: 1265424410

Practice Address

1818 N MEADE ST
SUITE 240 WEST
Appleton, WI 54911

Phone: (920) 731-8289

Specialties

Specialty Code Primary License
Surgery - Vascular Surgery 2086S0129X Yes 22610 020 (WI)

Frequently Asked Questions

NPI 1265424410 is the National Provider Identifier for CLARK BOREN JR., MD, a Surgery - Vascular Surgery provider located in Appleton, WI. This NPI was enumerated on August 15, 2005.
CLARK BOREN JR., MD practices at 1818 N MEADE ST, SUITE 240 WEST, Appleton, WI 54911.

Quick Facts

NPI
1265424410
Type
Individual
Enumerated
Aug 15, 2005
Last Updated
Jul 8, 2007

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