person
Clark Henry Boren JR., MD
Vascular Surgery Physician in Appleton, Wisconsin
NPI 1265424410

Clark Henry Boren JR. is a Vascular Surgery Physician based in Appleton, WI and is specialized in Vascular Surgery. Clark Henry Boren JR. practices in Appleton, WI and has the professional credentials of MD. The NPI Number for Clark Henry Boren JR. is 1265424410 and holds a License No. 22610 020 (Wisconsin).

The current practice location address for Clark Henry Boren JR. is 1818 N Meade St, Appleton, WI and can be reached out via phone at 920-731-8289 and via fax at 920-832-0444.

Location: 1818 N Meade St, Appleton, WI, 54911-3454
person
Provider Profile Details
NPI Number
1265424410
Provider Name
Clark Henry Boren JR.
Credential
MD
Provider Entity Type
Individual
Gender
Male
Address
1818 N Meade St, Appleton, WI, 54911-3454
Phone Number
920-731-8289
Fax Number
920-832-0444
Provider Enumeration Date
08/15/2005
Last Update Date
03/08/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
30320900 05 WI
institution
Provider Business Practice Location Address Details
Address
1818 N Meade St
City
State
Zip
54911-3454
Phone Number
920-731-8289
Fax Number
920-832-0444
person
Provider Business Mailing Address Details
Address
1818 N Meade St
City
State
Zip
54911-3454
Phone Number
920-731-8289
Fax Number
920-832-0444
person
Provider's Taxonomy Details 1
Type
Allopathic & Osteopathic Physicians
Classification
Surgery
Speciality
Vascular Surgery
Taxonomy
License No.
22610 020 (Wisconsin)
Definition
A surgeon with expertise in the management of surgical disorders of the blood vessels, excluding the intracranial vessels or the heart.
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