Individual
MICHAEL ROSS ALLEN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
DPM
Contact information
Practice address
4850 N 9TH AVE, PENSACOLA, FL 32503-2407
(850) 477-9015
(850) 478-5227
Mailing address
4850 N 9TH AVE, PENSACOLA, FL 32503-2407
(850) 477-9015
(850) 478-5227
Taxonomy
Speciality
Code
Description
License number
State
213ES0103X
Foot & Ankle Surgery Podiatrist
Primary
0775T
IA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1449868
—
IA
01
—
54775
WELLMARK
IA
Enumeration date
10/19/2005
Last updated
06/10/2019
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