Provider Demographics
NPI:1184748469
Name:RIFKIN, ALLAN ROSS (MD)
Entity type:Individual
Prefix:DR
First Name:ALLAN
Middle Name:ROSS
Last Name:RIFKIN
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Gender:M
Credentials:MD
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Mailing Address - Street 1:333 E CAMPUS MALL
Mailing Address - Street 2:ROOM 8104
Mailing Address - City:MADISON
Mailing Address - State:WI
Mailing Address - Zip Code:53715-1365
Mailing Address - Country:US
Mailing Address - Phone:608-262-0519
Mailing Address - Fax:608-262-9160
Practice Address - Street 1:333 E CAMPUS MALL
Practice Address - Street 2:ROOM 8104
Practice Address - City:MADISON
Practice Address - State:WI
Practice Address - Zip Code:53715-1365
Practice Address - Country:US
Practice Address - Phone:608-262-0519
Practice Address - Fax:608-262-9160
Is Sole Proprietor?:No
Enumeration Date:2007-03-19
Last Update Date:2015-04-29
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Provider Licenses
StateLicense IDTaxonomies
WI23209207Q00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207Q00000XAllopathic & Osteopathic PhysiciansFamily Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
WIB85193Medicare UPIN