Individual
DR. SHANE BURTON ALLEN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
700 S PARK ST, MEP, MADISON, WI 53715-1830
(608) 258-6504
Mailing address
6401 OFFSHORE DR, 411, MADISON, WI 53705-4387
(414) 526-0729
Taxonomy
Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
Primary
54165-020
WI
Other
Enumeration date
07/05/2007
Last updated
06/14/2011
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