Individual
MR. PAUL R ALLEN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
RN, RCS
Contact information
Practice address
324 OAK ST, STOUGHTON, WI 53589-2440
(608) 877-1422
Mailing address
324 OAK ST, STOUGHTON, WI 53589-2440
(608) 877-1422
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
155012-030
WI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
35037100
—
WI
Enumeration date
04/29/2008
Last updated
04/29/2008
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