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Dr. Allan Phillip Ingenito, MD
Neurology Physician in Coon Rapids, Minnesota
NPI 1124068770

Allan Phillip Ingenito is a Neurology Physician based in Coon Rapids, MN and is specialized in Neurology. Allan Phillip Ingenito practices in Coon Rapids, MN and has the professional credentials of MD. The NPI Number for Allan Phillip Ingenito is 1124068770 and holds a License No. 29584 (Minnesota).

The current practice location address for Allan Phillip Ingenito is 3833 Coon Rapids Blvd Nw, Coon Rapids, MN and can be reached out via phone at 763-427-8320 and via fax at 763-302-4338.

Location: 3833 Coon Rapids Blvd Nw, Coon Rapids, MN, 55433-2697
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1124068770
Provider Name
Allan Phillip Ingenito
Credential
MD
Provider Entity Type
Individual
Gender
Male
Address
3833 Coon Rapids Blvd Nw, Coon Rapids, MN, 55433-2697
Phone Number
763-427-8320
Fax Number
763-302-4338
Provider Enumeration Date
06/08/2006
Last Update Date
03/08/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
07691IN 01 MN BCBS OF MN
130005768 01 MN RAILROAD MEDICARE
162078900 05 MN
30709400 01 WI WI MEDICAID
0265011 01 MN PREFERRED ONE
HP13588 01 MN HEALTHPARTNERS
0509674 01 MN MEDICA
100289C029 01 MN UCARE
22676 01 MN AMERICA'S PPO
institution
Provider Business Practice Location Address Details
Address
3833 Coon Rapids Blvd Nw
City
Coon Rapids
State
Minnesota
Zip
55433-2697
Phone Number
763-427-8320
Fax Number
763-302-4338
person
Provider Business Mailing Address Details
Address
3833 Coon Rapids Blvd Nw
City
Coon Rapids
State
Minnesota
Zip
55433-2697
Phone Number
763-427-8320
Fax Number
763-302-4338
person
Provider's Taxonomy Details 1
Type
Allopathic & Osteopathic Physicians
Classification
Psychiatry & Neurology
Speciality
Neurology
Taxonomy
2084N0400X
License No.
29584 (Minnesota)
Definition
A Neurologist specializes in the diagnosis and treatment of diseases or impaired function of the brain, spinal cord, peripheral nerves, muscles, autonomic nervous system, and blood vessels that relate to these structures.
person
Provider's Taxonomy Details 2
Type
Allopathic & Osteopathic Physicians
Classification
Psychiatry & Neurology
Speciality
Neurology with Special Qualifications in Child Neurology
Taxonomy
2084N0402X
License No.
29584 (Minnesota)
Definition
A Child Neurologist specializes in neurology with special skills in diagnosis and treatment of neurologic disorders of the neonatal period, infancy, early childhood, and adolescence.
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