Individual
ALLEN M MEDINI
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
551 HOSPITAL RD, NEW RICHMOND, WI 54017-1449
(715) 243-3400
(715) 243-3415
Mailing address
551 HOSPITAL RD, NEW RICHMOND, WI 54017-1449
(715) 243-3400
(715) 243-3415
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
43614
WI
208100000X
Physical Medicine & Rehabilitation Physician
43614
WI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
34376300
—
WI
Enumeration date
11/16/2005
Last updated
02/05/2014
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