MEDICARE: SHARON S ALLEN MD

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	207Q00000X	Family Medicine Physician	23950	MN

General Provider Information

NPI Number	:	1285697243
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	SHARON S ALLEN MD

Provider Business Mailing Address
First Line	:	420 DELAWARE ST SE
Second Line	:	MMC 741
City	:	MINNEAPOLIS
State	:	MN
Zip	:	55455-0341
Country	:	US
Telephone Number	:	612-624-8984
Fax Number	:	612-624-3189

Provider Business Practice Location Address
First Line	:	516 DELAWARE ST SE
Second Line	:
City	:	MINNEAPOLIS
State	:	MN
Zip	:	55455-0356
Country	:	US
Telephone Number	:	612-624-9499
Fax Number	:	612-625-3906

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	04/10/2006
Last Update Date	:	06/10/2014

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