Keith A Allen, MBCHBBAO | |
15746 Fremont Way, Apple Valley, MN 55124-6531 | |
(715) 205-6789 | |
Not Available |
Full Name | Keith A Allen |
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Gender | Male |
Speciality | Emergency Medicine |
Location | 15746 Fremont Way, Apple Valley, Minnesota |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1649470204 | NPI | - | NPPES |
Entity Name | Mayo Clinic Health System-lake City |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1164463659 PECOS PAC ID: 1951213487 Enrollment ID: O20031104000095 |
Entity Name | Mayo Clinic Health System-lake City |
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Entity Type | Part A Provider - Critical Access Hospital |
Entity Identifiers | NPI Number: 1538113022 PECOS PAC ID: 1951213487 Enrollment ID: O20070711000490 |
Mailing Address | Practice Location Address |
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Keith A Allen, MBCHBBAO 1700 W Stout St, Rice Lake, WI 54868-5000 Ph: (715) 234-1515 | Keith A Allen, MBCHBBAO 15746 Fremont Way, Apple Valley, MN 55124-6531 Ph: (715) 205-6789 |
Patricia M Cook, MD Emergency Medicine Medicare: Not Enrolled in Medicare Practice Location: 15290 Pennock Ln, Apple Valley, MN 55124 Phone: 952-853-8800 Fax: 952-431-6966 | |
Lawrence Deshaw, MD Emergency Medicine Medicare: Accepting Medicare Assignments Practice Location: 15290 Pennock Ln, Apple Valley, MN 55124 Phone: 952-853-8800 Fax: 952-431-6966 | |
Kimberly S Glynn, Emergency Medicine Medicare: Medicare Enrolled Practice Location: 15290 Pennock Ln, Apple Valley, MN 55124 Phone: 952-853-8800 Fax: 952-431-6966 | |
Autumn Sue Ties, MD Emergency Medicine Medicare: Medicare Enrolled Practice Location: 15350 English Ave, Apple Valley, MN 55124 Phone: 952-853-8800 | |
Dr. Marven G Ewen, M.D. Emergency Medicine Medicare: Not Enrolled in Medicare Practice Location: 15290 Pennock Ln, Apple Valley, MN 55124 Phone: 952-431-8500 Fax: 952-431-8598 |