Individual
DR. ALLEN R LAST
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
229 S MORRISON ST, FOX VALLEY FAMILY MEDICINE, APPLETON, WI 54911-5725
(920) 997-8409
Mailing address
229 S MORRISON ST, FOX VALLEY FAMILY MEDICINE, APPLETON, WI 54911-5725
(920) 832-2783
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
48154
WI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1205887049
—
WI
Enumeration date
05/15/2006
Last updated
04/16/2018
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