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General NPI Number Information
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NPI Number | 1255588430
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Entity Type | Individual
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Provider Name | MICHAEL NORMAN ALLEN D.O.
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Gender | Male
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Dates
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Enumeration Date | 08/19/2008
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Last Update Date | 03/17/2023
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Provider Practice Location Address
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Address Line | 2401 W UNIVERSITY AVE
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City | MUNCIE
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State | IN
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Zip | 47303-3428
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Country | US
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Telephone | 765-747-3111
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Fax |
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Provider Business Mailing Address
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Address Line | 6625 W SAINT ANDREWS AVE
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City | YORKTOWN
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State | IN
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Zip | 47396-9363
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Country | US
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Telephone | 214-364-0290
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Fax |
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Authorized Official
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Title or Position |
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Name |
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Credential |
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Telephone |
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 207L00000X
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Taxonomy Name | Anesthesiology Physician
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License Number | 02004312A
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License Number State | IN
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Taxonomy #2
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Taxonomy Code | 207L00000X
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Taxonomy Name | Anesthesiology Physician
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License Number | 94962
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License Number State | GA
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