Mallin, Sanford R.

Mallin, Sanford R. is an individual health care provider with primary practice located at 788 N Jefferson St Suite 300, Milwaukee WI 53202-3718. He recently has only one registered license in Allopathic & Osteopathic Physicians / Endocrinology, Diabetes & Metabolism, which is considered as his primary health care specialty. Mallin, Sanford R. can be contacted via phone (414) 272-8950.

Contact Information

Primary practice address
788 N Jefferson St Suite 300 Milwaukee WI 53202-3718
Phone: (414) 272-8950
Fax: (414) 272-0859
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Endocrinology, Diabetes & Metabolism 207RE0101X 13078 Wisconsin

Profile Details

NPI number 1699716290
LBN Legal business name Mallin, Sanford R.
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jun 8th, 2006
Last updated Jul 8th, 2007 - about 17 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1699716290 NPPES
Wisconsin MEDICAID 30915100

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