Organization
ALLEN DUMONT MD PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
ALLEN DUMONT MD (OWNER)
(734) 769-3702
Entity
Organization
Contact information
Practice address
911 BROWN ST, ANN ARBOR, MI 48104-3203
(734) 769-3702
Mailing address
911 BROWN ST, ANN ARBOR, MI 48104-3203
(734) 769-3702
Taxonomy
Speciality
Code
Description
License number
State
2080A0000X
Pediatric Adolescent Medicine Physician
Primary
4301027689
MI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
101377820
—
MI
Enumeration date
02/03/2012
Last updated
11/05/2013
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