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Individual

DR. ALLAN RICHARD PASCH

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
MD

Contact information

Practice address
5900 S LAKE DR, CUDAHY, WI 53110-3171
(414) 489-4190
(414) 332-1005
Mailing address
5900 S LAKE DR, CUDAHY, WI 53110-3171
(414) 489-4190
(414) 332-1005

Taxonomy

Speciality
Code
Description
License number
State
208600000X
Surgery Physician
Primary
27484
WI
2086S0129X
Vascular Surgery Physician
27484
WI

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
32705400
WI
Enumeration date
07/21/2005
Last updated
03/29/2018
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