Individual
ALLYSON SARA IMPALLOMENI
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MD
Taxonomy
Speciality
Code
Description
License number
State
2084N0400X
Neurology Physician
Primary
75348-20
WI
2084N0402X
Neurology with Special Qualifications in Child Neurology Physician
75348-20
WI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
100176011
—
WI
Enumeration date
04/02/2018
Last updated
04/06/2026
Update your record
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