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Individual
PATRICK M ALLEN
Active
Individual
PATRICK M ALLEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DO
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
60295
WI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
60295
STATE LICENSE
WI
Enumeration date
05/16/2011
Last updated
08/05/2014
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