Provider Demographics
NPI:1508862707
Name:MEHLER, ALLEN S (DPM)
Entity Type:Individual
Prefix:DR
First Name:ALLEN
Middle Name:S
Last Name:MEHLER
Suffix:
Gender:M
Credentials:DPM
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Mailing Address - Street 1:14555 LEVAN RD
Mailing Address - Street 2:STE E302
Mailing Address - City:LIVONIA
Mailing Address - State:MI
Mailing Address - Zip Code:48154-5083
Mailing Address - Country:US
Mailing Address - Phone:734-591-6612
Mailing Address - Fax:734-591-6625
Practice Address - Street 1:14555 LEVAN RD
Practice Address - Street 2:STE E302
Practice Address - City:LIVONIA
Practice Address - State:MI
Practice Address - Zip Code:48154-5083
Practice Address - Country:US
Practice Address - Phone:734-591-6612
Practice Address - Fax:734-591-6625
Is Sole Proprietor?:No
Enumeration Date:2005-06-22
Last Update Date:2012-08-08
Deactivation Date:
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Provider Licenses
StateLicense IDTaxonomies
MI5901000946213E00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes213E00000XPodiatric Medicine & Surgery Service ProvidersPodiatrist
Provider Identifiers
StateIdentifier IDID TypeIssuer
MI480029297OtherRAILROAD MEDICARE
MI4188219-13Medicaid
MIC7510OtherMCARE
MI4188219OtherMOLINA
MI506087OtherCARECHOICES
MI506087OtherPREFERRED CHOICES
MIT97182OtherHEALTH ALLIANCE PLAN
MI101992OtherGREATLAKES
MI000000004895OtherCAPE
MI136148700OtherUS DEPT OF LABOR
MI000000004895OtherCAPE
MIT97182Medicare UPIN
MI136148700OtherUS DEPT OF LABOR