Malone, Michael L

Malone, Michael L is an individual health care provider with primary practice located at 1020 N 12Th St 3Rd Floor, Milwaukee WI 53233-1308. He recently has only one registered license in Allopathic & Osteopathic Physicians / Geriatric Medicine, which is considered as his primary health care specialty. Malone, Michael L can be contacted via phone (414) 219-7300.

Contact Information

Primary practice address
1020 N 12Th St 3Rd Floor Milwaukee WI 53233-1308
Phone: (414) 219-7300
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Geriatric Medicine 207RG0300X 26583-020 Wisconsin

Profile Details

NPI number 1053469536
LBN Legal business name Malone, Michael L
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jan 8th, 2007
Last updated Nov 24th, 2021 - about 3 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 1053469536 NPPES
Wisconsin MEDICAID 31373200

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