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Individual

WILFRED M ALLEN

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
NP

Contact information

Practice address
2799 W GRAND BLVD, DETROIT, MI 48202-2608
(313) 622-1380
Mailing address
2799 W GRAND BLVD, DETROIT, MI 48202-2608

Taxonomy

Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
4704143956
MI

Other

Enumeration date
07/26/2007
Last updated
02/10/2021
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