Mary Maureen Boren, MD | |
8375 S Howell Ave, Oak Creek, WI 53154-8344 | |
(414) 764-5726 | |
(414) 764-6954 |
Full Name | Mary Maureen Boren |
---|---|
Gender | Female |
Speciality | Pediatrics |
Location | 8375 S Howell Ave, Oak Creek, Wisconsin |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1881008738 | NPI | - | NPPES |
1881008738 | Medicaid | WI |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
208000000X | Pediatrics | 71610-20 (Wisconsin) | Primary |
Entity Name | Columbia St Marys Hospital Milwaukee Inc |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1023064482 PECOS PAC ID: 5890604722 Enrollment ID: O20031105000057 |
Mailing Address | Practice Location Address |
---|---|
Mary Maureen Boren, MD 8375 S Howell Ave, Oak Creek, WI 53154-8344 Ph: (414) 764-5726 | Mary Maureen Boren, MD 8375 S Howell Ave, Oak Creek, WI 53154-8344 Ph: (414) 764-5726 |
Gregg E Tetting, MD Pediatrics Medicare: Medicare Enrolled Practice Location: 200 E Ryan Rd, Oak Creek, WI 53154 Phone: 414-570-3590 | |
Mallory Hannah Salentine, M.D. Pediatrics Medicare: Medicare Enrolled Practice Location: 8375 S Howell Ave, Oak Creek, WI 53154 Phone: 414-764-5726 Fax: 414-764-6954 | |
Angela M Bier, MD Pediatrics Medicare: Not Enrolled in Medicare Practice Location: 8375 S Howell Ave, Oak Creek, WI 53154 Phone: 414-764-5726 Fax: 414-164-6954 | |
Mr. David S. Ogren, M.D. Pediatrics Medicare: Not Enrolled in Medicare Practice Location: 8375 S Howell Ave, Oak Creek, WI 53154 Phone: 414-764-5726 Fax: 414-764-5726 | |
Smriti S Khare, M.D. Pediatrics Medicare: Not Enrolled in Medicare Practice Location: 8661 S Howell Ave, Oak Creek, WI 53154 Phone: 414-764-5726 Fax: 414-764-6954 | |
Randall Lee Fiete, MD Pediatrics Medicare: Not Enrolled in Medicare Practice Location: 980 E Twin Oaks Dr, Oak Creek, WI 53154 Phone: 414-571-9680 | |
Steven J Jereb, M.D. Pediatrics Medicare: Not Enrolled in Medicare Practice Location: 8661 S Howell Ave, Oak Creek, WI 53154 Phone: 414-764-5726 Fax: 414-764-6954 |