Individual
ALLEN W AUTREY
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
69 EXCHANGE ST W, SAINT PAUL, MN 55102-1004
(651) 232-3348
(651) 232-3539
Mailing address
4222 OAKMEDE LN, WHITE BEAR LAKE, MN 55110-7609
(651) 398-8644
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
27794
MN
Other
Enumeration date
07/17/2006
Last updated
07/08/2007
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