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Individual
MR. GENADI MALTINSKI
Active
Individual
MR. GENADI MALTINSKI
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
18514
NV
207Q00000X
Family Medicine Physician
38713-020
WI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1134250905
CMH PCC G NPI
WI
01
—
1326349135
CMH SB NPI
WI
05
—
1710966288
—
NV
01
—
18514
STATE LICENSE
NV
01
—
1851477913
CMH NPI
WI
Enumeration date
01/12/2006
Last updated
04/08/2020
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