Organization
ALLEN FAMILY MEDICINE SC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
TIMOTHY WILLIAM ALLEN MD (PRESIDENT)
(414) 326-4800
Entity
Organization
Contact information
Practice address
4580 S NICHOLSON AVE, CUDAHY, WI 53110-1360
(414) 326-4800
(855) 270-4751
Mailing address
4580 S NICHOLSON AVE, CUDAHY, WI 53110-1360
(414) 326-4800
(855) 270-4751
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
—
—
207QA0401X
Addiction Medicine (Family Medicine) Physician
—
—
Other
Enumeration date
06/09/2025
Last updated
06/09/2025
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