Individual
DR. TADASHI LEONARD ALLEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
420 DELAWARE ST SE, ROOM B-211 MAYO, MMC 292, MINNEAPOLIS, MN 55455-0341
(612) 626-5566
(612) 626-5505
Mailing address
5970 W 16TH ST, 719, SAINT LOUIS PARK, MN 55416-1454
(952) 544-6573
Taxonomy
Speciality
Code
Description
License number
State
2085R0202X
Diagnostic Radiology Physician
Primary
49479
MN
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
02/05/2007
Last updated
08/13/2007
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