Individual
MICHAEL ALLEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
390 SHILOH SPRINGS RD, DAYTON, OH 45415-3196
(937) 397-1433
Mailing address
390 SHILOH SPRINGS RD, DAYTON, OH 45415-3196
Taxonomy
Speciality
Code
Description
License number
State
175T00000X
Peer Specialist
Primary
APS.003739
OH
Other
Enumeration date
12/22/2022
Last updated
12/22/2022
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