Provider Demographics
NPI:1386847507
Name:DENYS, ALLEN P (MD)
Entity Type:Individual
Prefix:DR
First Name:ALLEN
Middle Name:P
Last Name:DENYS
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
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Other - Credentials:
Mailing Address - Street 1:348 ELMGROVE
Mailing Address - Street 2:
Mailing Address - City:TECUMSEH
Mailing Address - State:ONTARIO
Mailing Address - Zip Code:N8N 3S4
Mailing Address - Country:CA
Mailing Address - Phone:519-258-0585
Mailing Address - Fax:519-258-6304
Practice Address - Street 1:27427 SCHOENHERR RD
Practice Address - Street 2:SUITE 100
Practice Address - City:WARREN
Practice Address - State:MI
Practice Address - Zip Code:48088-4729
Practice Address - Country:US
Practice Address - Phone:519-258-0585
Practice Address - Fax:519-258-6304
Is Sole Proprietor?:Yes
Enumeration Date:2007-06-06
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MI4301080502207RS0012X
FLME 86732207RS0012X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207RS0012XAllopathic & Osteopathic PhysiciansInternal MedicineSleep Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
MI2905013142OtherBCBSM
MI4460260Medicaid
MI4460260Medicaid