Individual
MARK E. BOYKEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
204 S ADAMS ST, SAINT CROIX FALLS, WI 54024-9449
(715) 483-0429
Mailing address
204 S ADAMS ST, SAINT CROIX FALLS, WI 54024-9449
(715) 483-0429
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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