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Individual

TEMPEST A ALLEN

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
MD

Contact information

Practice address
3300 W CENTRE AVE, PORTAGE, MI 49024-4666
(269) 327-2211
(269) 327-0273
Mailing address
3300 W CENTRE AVE, PORTAGE, MI 49024-4666
(269) 327-2211
(269) 327-0273

Taxonomy

Speciality
Code
Description
License number
State
207V00000X
Obstetrics & Gynecology Physician
Primary
4301075879
MI

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
1235131137
BCBSM - BLH
MI
05
1699755207
MI
05
4218238
MI
05
4432603
MI
01
CB9054
RAILROAD MEDICARE
MI
Enumeration date
01/19/2006
Last updated
10/30/2014
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