Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 122300000X | Dentist | 6533015 | WI |
NPI | 1003136953 |
---|---|
Provider Name | Dr. Anne M Allmann |
First Address | Cudahy, WI 53110-3089 |
Second Address | Cudahy, WI 53110-3089 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | Yes |
Is Organization Subpart | N/A |
Enumeration Date | 02/06/2010 |
Last Update Date | 01/07/2010 |