Individual
MICHAEL JOHN ALLEN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
RN
Contact information
Practice address
2939 RUSSELL ST, DETROIT, MI 48207-4825
(313) 396-5300
(313) 396-5353
Mailing address
2939 RUSSELL ST, DETROIT, MI 48207-4825
(313) 396-5300
(313) 396-5353
Taxonomy
Speciality
Code
Description
License number
State
163WC1500X
Community Health Registered Nurse
Primary
4704190140
MI
Other
Enumeration date
04/09/2015
Last updated
04/09/2015
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