Clark Henry Boren Jr, MD | |
1818 N Meade St, Suite 240 West, Appleton, WI 54911-3454 | |
(920) 731-8289 | |
(920) 832-0444 |
Full Name | Clark Henry Boren Jr |
---|---|
Gender | Male |
Speciality | Surgery - Vascular Surgery |
Location | 1818 N Meade St, Appleton, Wisconsin |
Accepts Medicare Assignments | Does not participate in Medicare Program. He may not accept medicare assignment. |
Identifier | Type | State | Issuer |
---|---|---|---|
1265424410 | NPI | - | NPPES |
30320900 | Medicaid | WI |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
2086S0129X | Surgery - Vascular Surgery | 22610 020 (Wisconsin) | Primary |
Mailing Address | Practice Location Address |
---|---|
Clark Henry Boren Jr, MD 1818 N Meade St, Suite 240 West, Appleton, WI 54911-3454 Ph: (920) 731-8289 | Clark Henry Boren Jr, MD 1818 N Meade St, Suite 240 West, Appleton, WI 54911-3454 Ph: (920) 731-8289 |
Philip Anthony Vogt, MD Surgery Medicare: Not Enrolled in Medicare Practice Location: 1818 N Meade St, Ste 240- West, Appleton, WI 54911 Phone: 920-731-8289 Fax: 920-832-0444 | |
Dr. Maykong Leepalao, M.D. Surgery Medicare: Accepting Medicare Assignments Practice Location: 1501 S Madison St, Appleton, WI 54915 Phone: 920-730-4435 | |
Dr. Alexander Spencer Tretinyak, MD Surgery Medicare: Accepting Medicare Assignments Practice Location: 1818 N Meade St, Suite 240 West, Appleton, WI 54911 Phone: 920-731-8131 Fax: 920-832-0444 | |
Beth R Krieger, M.D. Surgery Medicare: Accepting Medicare Assignments Practice Location: 1818 N Meade St, Suite 240 West, Appleton, WI 54911 Phone: 920-731-8289 Fax: 920-832-0444 | |
Janeil Mitchell, MD Surgery Medicare: Accepting Medicare Assignments Practice Location: 1818 N Meade St # 240w, Appleton, WI 54911 Phone: 920-731-8131 | |
Ping D Lady, M.D. Surgery Medicare: Accepting Medicare Assignments Practice Location: 1501 S Madison St, Appleton, WI 54915 Phone: 920-730-4435 | |
Tina M. Sauerhammer, M.D. Surgery Medicare: Accepting Medicare Assignments Practice Location: 2700 E Enterprise Ave Ste A, Appleton, WI 54913 Phone: 920-965-1234 |