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Individual

DR. ROBERT M ALLEN

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
MD

Contact information

Practice address
1234 NAPIER AVE, SAINT JOSEPH, MI 49085-2112
(269) 471-7741
(269) 471-1581
Mailing address
PO BOX 708, SAINT JOSEPH, MI 49085-0708
(269) 428-5007
(269) 428-2789

Taxonomy

Speciality
Code
Description
License number
State
207RC0200X
Critical Care Medicine (Internal Medicine) Physician
Primary
4301056577
MI

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
04-31477
PHP
MI
01
1101100942
BLUE CROSS PIN
MI
01
110128164
RAILROAD MEDICARE
01
1538397120
GROUP NPI
MI
01
270381199
GROUP TAX ID
MI
05
43882593-
MI
01
4876196
CIGNA
Enumeration date
06/27/2006
Last updated
03/07/2023
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