Individual
SUSAN L ALLEN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
D.O.
Contact information
Practice address
2401 W UNIVERSITY AVE, MUNCIE, IN 47303-3428
(765) 747-3260
Mailing address
429 W CHARLES ST APT 1, MUNCIE, IN 47305-2305
(513) 310-0063
Taxonomy
Speciality
Code
Description
License number
State
207ZP0102X
Anatomic Pathology & Clinical Pathology Physician
Primary
02003122A
IN
Other
Enumeration date
06/01/2007
Last updated
07/08/2007
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