Individual
DR. MICHAEL D ALLEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
1509 STATE ST, LA PORTE, IN 46350-3115
(219) 326-5700
Mailing address
250 N SHADELAND AVE, INDIANAPOLIS, IN 46219-4959
Taxonomy
Speciality
Code
Description
License number
State
207V00000X
Obstetrics & Gynecology Physician
Primary
01060205A
IN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
200947140
—
IN
Enumeration date
05/22/2006
Last updated
12/20/2021
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