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Individual
MARK E. BOYKEN
Active
Individual
MARK E. BOYKEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
18849
WI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0106271
MEDICA
—
01
—
27G30BO
BC BS MN FACILITY
—
05
—
31160900
—
WI
01
—
484520562006
BC BS OF WI
WI
01
—
64Q24BO
BC BS MN PRO FEES
—
01
—
HP10162
HEALTHPARTNERS
—
01
—
NA9030224002
PREFERREDONE
—
Enumeration date
08/30/2006
Last updated
07/08/2007
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