Individual
MR. TIMOTHY WILLIAM ALLEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
4580 S NICHOLSON AVE, CUDAHY, WI 53110-1360
(414) 326-4800
(855) 270-4751
Mailing address
4580 S NICHOLSON AVE, CUDAHY, WI 53110-1360
(414) 326-4800
(855) 270-4751
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
45304-020
WI
207QA0401X
Addiction Medicine (Family Medicine) Physician
45304-020
WI
Other
Enumeration date
07/18/2006
Last updated
03/21/2020
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