Healthcare Provider Details

I. General information

NPI: 1902156326
Provider Name (Legal Business Name): ALLEN RINDFLEISCH APN
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 09/13/2012
Last Update Date: 09/30/2025
Certification Date: 09/30/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

331 E PUETZ RD
OAK CREEK WI
53154-3254
US

IV. Provider business mailing address

331 E PUETZ RD
OAK CREEK WI
53154-3254
US

V. Phone/Fax

Practice location:
  • Phone: 414-877-4570
  • Fax: 414-296-4065
Mailing address:
  • Phone: 414-877-4570
  • Fax: 414-304-8065

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code363L00000X
TaxonomyNurse Practitioner
License Number9598-33
License Number StateWI
# 2
Primary TaxonomyY
Taxonomy Code363LP0808X
TaxonomyPsychiatric/Mental Health Nurse Practitioner
License Number9598
License Number StateWI

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: