Individual
DR. JAIME ALBERTO BOERO
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD PHD
Contact information
Practice address
1000 N OAK AVE, MARSHFIELD, WI 54449-5703
(715) 387-5511
Mailing address
1000 N OAK AVE, MARSHFIELD, WI 54449-5703
(715) 387-5511
Taxonomy
Speciality
Code
Description
License number
State
2084N0400X
Neurology Physician
Primary
50054
WI
2084S0012X
Sleep Medicine (Psychiatry & Neurology) Physician
50054
WI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
189446
MO-BLUE SHIELD
—
05
—
208394601
—
MO
Enumeration date
07/14/2006
Last updated
11/17/2022
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