Provider Demographics
NPI:1679694582
Name:ALLEN, RICHARD JAMES (DO)
Entity type:Individual
Prefix:DR
First Name:RICHARD
Middle Name:JAMES
Last Name:ALLEN
Suffix:
Gender:M
Credentials:DO
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Mailing Address - Street 1:7335 WESTSHIRE DR
Mailing Address - Street 2:STE 100
Mailing Address - City:LANSING
Mailing Address - State:MI
Mailing Address - Zip Code:48917-9703
Mailing Address - Country:US
Mailing Address - Phone:517-622-2788
Mailing Address - Fax:517-622-0460
Practice Address - Street 1:7335 WESTSHIRE DR
Practice Address - Street 2:STE 100
Practice Address - City:LANSING
Practice Address - State:MI
Practice Address - Zip Code:48917-9703
Practice Address - Country:US
Practice Address - Phone:517-622-2788
Practice Address - Fax:517-622-0460
Is Sole Proprietor?:Yes
Enumeration Date:2007-04-02
Last Update Date:2007-08-24
Deactivation Date:
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Provider Licenses
StateLicense IDTaxonomies
MI5315018620207Q00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207Q00000XAllopathic & Osteopathic PhysiciansFamily Medicine