Individual
GENEVIEVE ALLEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
1051 N CANTON CENTER RD, CANTON, MI 48187-5097
(734) 844-5400
(734) 844-5298
Mailing address
1500 E. MEDICAL CENTER DR, 3116 TC, SPC 5368, ANN ARBOR, MI 48109-5368
(734) 844-5400
(734) 844-5298
Taxonomy
Speciality
Code
Description
License number
State
390200000X
Student in an Organized Health Care Education/Training Program
Primary
4351044882
MI
Other
Enumeration date
06/18/2019
Last updated
06/18/2019
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