Provider Demographics
NPI:1861510786
Name:ALLEN, MARGARET M (RD,CD)
Entity type:Individual
Prefix:MRS
First Name:MARGARET
Middle Name:M
Last Name:ALLEN
Suffix:
Gender:F
Credentials:RD,CD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:W59N789 HIGHWOOD DR
Mailing Address - Street 2:
Mailing Address - City:CEDARBURG
Mailing Address - State:WI
Mailing Address - Zip Code:53012-1458
Mailing Address - Country:US
Mailing Address - Phone:414-961-4012
Mailing Address - Fax:
Practice Address - Street 1:W59N789 HIGHWOOD DR
Practice Address - Street 2:
Practice Address - City:CEDARBURG
Practice Address - State:WI
Practice Address - Zip Code:53012-1458
Practice Address - Country:US
Practice Address - Phone:414-961-4012
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2007-03-27
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes133V00000XDietary & Nutritional Service ProvidersDietitian, Registered