Individual
DR. JEFFREY S ALLEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
1650 S 41ST ST, MANITOWOC, WI 54220-7316
(920) 320-4500
(920) 682-9378
Mailing address
PO BOX 2290, MANITOWOC, WI 54221-2290
(920) 320-2591
(920) 320-4155
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
25492
WI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
30575800
—
WI
Enumeration date
08/03/2006
Last updated
03/07/2023
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