Provider Demographics
NPI:1912046178
Name:ALLEMANN, ELIZABETH ANNE (MD)
Entity Type:Individual
Prefix:MS
First Name:ELIZABETH
Middle Name:ANNE
Last Name:ALLEMANN
Suffix:
Gender:F
Credentials:MD
Other - Prefix:MS
Other - First Name:ELIZABETH
Other - Middle Name:ANNE
Other - Last Name:CHRISTENSEN
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:MD
Mailing Address - Street 1:1705 N STADIUM BLVD STE A
Mailing Address - Street 2:
Mailing Address - City:COLUMBIA
Mailing Address - State:MO
Mailing Address - Zip Code:65202-1305
Mailing Address - Country:US
Mailing Address - Phone:573-443-7070
Mailing Address - Fax:312-604-3762
Practice Address - Street 1:1200 FAY ST
Practice Address - Street 2:
Practice Address - City:COLUMBIA
Practice Address - State:MO
Practice Address - Zip Code:65201-4720
Practice Address - Country:US
Practice Address - Phone:573-443-7070
Practice Address - Fax:573-443-7070
Is Sole Proprietor?:Yes
Enumeration Date:2007-02-05
Last Update Date:2020-01-23
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MOR8G52207Q00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207Q00000XAllopathic & Osteopathic PhysiciansFamily Medicine