Individual
PATRICK M ALLEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DO
Contact information
Practice address
212 STURGEON EDDY RD, WAUSAU, WI 54403-6672
(715) 842-0491
Mailing address
212 STURGEON EDDY RD, WAUSAU, WI 54403-6672
(715) 842-0491
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
60295
WI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
60295
STATE LICENSE
WI
Enumeration date
05/16/2011
Last updated
08/05/2014
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