Individual
SAMANTHA A ALLEN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
2101 W CLARKE ST, MILWAUKEE, WI 53206-1517
(262) 315-4230
Mailing address
2101 W CLARKE ST, MILWAUKEE, WI 53206-1517
(262) 315-4230
Taxonomy
Speciality
Code
Description
License number
State
261QM1300X
Multi-Specialty Clinic/Center
Primary
—
—
Other
Enumeration date
02/11/2025
Last updated
02/11/2025
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