Clark Henry Boren Jr, MD - Surgery in Appleton, WI

Clark Henry Boren Jr, MD is a Surgery - Vascular Surgery physician based in Appleton, Wisconsin. Clark Henry Boren Jr is licensed to practice in Wisconsin (license number 22610 020) and his current practice location is 1818 N Meade St, Suite 240 West, Appleton, Wisconsin. He can be reached at his office (for appointments etc.) via phone at (920) 731-8289.

NPI number for Clark Henry Boren Jr is 1265424410 and his current mailing address is 1818 N Meade St, Suite 240 West, Appleton, Wisconsin. He does not participate in medicare program and thus does not accept medicare assignments. His NPI Number is 1265424410.

Contact Information

Clark Henry Boren Jr, MD
1818 N Meade St, Suite 240 West,
Appleton, WI 54911-3454
(920) 731-8289
(920) 832-0444



Physician's Profile

Full NameClark Henry Boren Jr
GenderMale
SpecialitySurgery - Vascular Surgery
Location1818 N Meade St, Appleton, Wisconsin
Accepts Medicare AssignmentsDoes not participate in Medicare Program. He may not accept medicare assignment.
  NPI Data:
  • NPI Number: 1265424410
  • Provider Enumeration Date: 08/15/2005
  • Last Update Date: 07/08/2007

Medical Identifiers

Medical identifiers for Clark Henry Boren Jr such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1265424410NPI-NPPES
30320900MedicaidWI

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
2086S0129XSurgery - Vascular Surgery 22610 020 (Wisconsin)Primary

Medicare Part D Prescriber Enrollment

Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Clark Henry Boren Jr is NOT enrolled with medicare and thus cannot prescribe medicare part D drugs to patients with medicare part D benefits.

Mailing Address and Practice Location

Mailing AddressPractice 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

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› Verified 2 days ago


Surgery Doctors in Appleton, WI

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    

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