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Individual

DR. JAMES WILLIAM ALLAN

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
MD

Contact information

Practice address
75 WEST LITTLE CANADA ROAD, LITTLE CANADA, MN 55117
(651) 481-1119
(651) 481-1476
Mailing address
75 WEST LITTLE CANADA ROAD, LITTLE CANADA, MN 55117
(651) 481-1119
(651) 481-1476

Taxonomy

Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
20780
MN

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
0123164
MEDICA
01
20504LI
BCBS
05
263273000
MN
Enumeration date
07/17/2006
Last updated
11/12/2008
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