Individual
DR. DAVID MALDONADO
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
D.O.
Contact information
Practice address
1225 E COOLSPRING AVE STE 2D, MICHIGAN CITY, IN 46360-6312
(219) 878-5037
(219) 873-2903
Mailing address
PO BOX 781076, DETROIT, MI 48278-1076
(317) 528-4800
(317) 865-1479
Taxonomy
Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
5101022140
MI
207Q00000X
Family Medicine Physician
Primary
02005611A
IN
Other
Enumeration date
11/05/2015
Last updated
06/12/2023
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