Individual
MICHAEL L MALONE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
1020 N 12TH ST, 3RD FLOOR, MILWAUKEE, WI 53233-1308
(414) 219-7300
Mailing address
13475 COMMONS DR, BROOKFIELD, WI 53005-3378
(262) 781-8921
Taxonomy
Speciality
Code
Description
License number
State
207RG0300X
Geriatric Medicine (Internal Medicine) Physician
Primary
26583-020
WI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
31373200
—
WI
Enumeration date
01/08/2007
Last updated
11/24/2021
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