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KEITH A ALLEN MBChBBAO

Individual Provider (NPI-1) Active

Emergency Medicine

Provider Information

NPI Number
1649470204
Provider Type
Individual Provider (NPI-1)
Credentials
MBChBBAO
Status
Active

Contact & Location

Address
15746 FREMONT WAY, APPLE VALLEY, MN, 551246531
Phone
(715) 205-6789

Specialties & Taxonomies

Emergency Medicine License: MN #51841
Emergency Medicine License: IL #036159388
Emergency Medicine Primary License: WI #54561-20

All Addresses

LOCATION

15746 FREMONT WAY

APPLE VALLEY, MN, 551246531

(715) 205-6789

MAILING

1700 W STOUT ST

RICE LAKE, WI, 548685000

(715) 234-1515