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Individual

JOHN S BOYLE

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
MD

Contact information

Practice address
855 N WESTHAVEN DR, OSHKOSH, WI 54904-7668
(920) 303-8700
Mailing address
916 BAVARIAN CT, OSHKOSH, WI 54901-2012
(920) 426-1409

Taxonomy

Speciality
Code
Description
License number
State
207X00000X
Orthopaedic Surgery Physician
Primary
19084
WI

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
31231100
WI
Enumeration date
08/21/2006
Last updated
07/08/2007
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