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Individual

DR. INNA ALEXANDROVNA ALLEN

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
M.D.

Contact information

Practice address
36500 AURORA DR, SUMMIT, WI 53066-4899
(262) 434-5000
Mailing address
36500 AURORA DR, SUMMIT, WI 53066-4899
(262) 434-5000

Taxonomy

Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
61190
WI

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
100032480
WI
Enumeration date
06/28/2010
Last updated
01/12/2022
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