Individual
DR. ALBERT STAEBLER MALCOLM
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
235 N BREIEL BLVD, MIDDLETOWN, OH 45042-3807
(513) 423-0504
(513) 423-9536
Mailing address
235 N BREIEL BLVD, MIDDLETOWN, OH 45042-3807
(513) 423-0504
(513) 423-9536
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
35055576
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0837572
—
OH
Enumeration date
10/04/2005
Last updated
08/15/2012
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