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Individual

DR. RICHARD D ALLEN

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
M.D.

Contact information

Practice address
14000 FAIRVIEW DR, BURNSVILLE, MN 55337-5713
(952) 993-8700
Mailing address
6465 WAYZATA BLVD, STE 315, ST LOUIS PARK, MN 55426-1728

Taxonomy

Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary
24227
MN

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
780200500
MN
Enumeration date
12/23/2005
Last updated
10/20/2011
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