IndividualActive
Clark Boren, MD
NPI 1265424410 · Vascular Surgery Physician · Appleton, WI
Provider details
- NPI number
- 1265424410
- Entity type
- Individual
- Primary specialty
- Vascular Surgery PhysicianAllopathic & Osteopathic Physicians
- Credential
- MD
- Sex
- Male
- License
- 22610 020 (WI)
Specialties & taxonomies
Allopathic & Osteopathic Physicians
Practice location
1818 N Meade St
Suite 240 West
Appleton, WI 54911-3454
Phone: (920) 731-8289
Fax: (920) 832-0444
Approximate (ZIP-level) locationGet directions
Mailing address
1818 N Meade St
Appleton, WI 54911-3454
Registry dates
- Enumerated
- 2005-08-15
- Last updated
- 2007-07-08
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.