Individual
HEIDI B ALLRED
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
1836 SOUTH AVE, LA CROSSE, WI 54601-5429
(608) 782-7300
Mailing address
1836 SOUTH AVE, LA CROSSE, WI 54601-5429
(608) 782-7300
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
74375
WI
207Q00000X
Family Medicine Physician
MD60665922
WA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
G8954422
MEDICARE
WA
01
—
G8954423
MEDICARE
WA
Enumeration date
05/28/2013
Last updated
01/07/2021
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