Charles Edward Allen JR. M.D.

NPI 1871804336 - Student in an Organized Health Care Education/Training Program - 390200000X

NPI Details
NPI 1871804336
Gender Male
Enumeration Date 06/29/2010
Last Updated 03/04/2016
Entity Type Individual
Active Over 6 years ago
Practice Location
1185 CORPORATE CENTER DR
STE 175
OCONOMOWOC WI, 53066-4887, US
Phone (262) 928-8400
Fax
Business Location
1185 CORPORATE CENTER DR
STE 175
OCONOMOWOC WI, 53066-4887, US
Phone (262) 928-8400
Fax
Toxanomy
Taxonomy Code 390200000X
License State
License Number
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According to our database, Dr. Charles Edward Allen JR. M.D. NPI is 1871804336, taxonomy code is 390200000X Charles Edward Allen JR. M.D. physically located at 1185 Corporate Center Dr, Oconomowoc WI, 53066-4887. NPI Number Charles Edward Allen JR. M.D. has the Individual type.

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1871804336 NPI number is provided on an as is basis without warranty of any kind. 1871804336 is maintained by the National Plan & Provider Enumeration System. The contents of Charles Edward Allen JR. M.D. are for informational purposes only.