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Individual

MR. ERANIO U MALTO

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
MD

Contact information

Practice address
401 S BALLENGER HWY, FLINT, MI 48532
(810) 720-1730
(810) 720-1736
Mailing address
1051 PROFESSIONAL DRIVE, FLINT, MI 48532
(810) 720-1730
(810) 720-1736

Taxonomy

Speciality
Code
Description
License number
State
207L00000X
Anesthesiology Physician
Primary
4301033063
MI

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
050B56043
BLUE CROSSBLUE SHIELD
01
0996930
HEALTH PLUS OF MICHIGAN
01
100110
GREAT LAKES HEALTH PLAN
01
1172870001
THE WELLNESS PLAN
05
1364608
MI
01
210425
MCLAREN HEALTH ADVANTAG
01
30946
COMMUNITY CHOICE OF MI
01
4647093
AETNA HEALTH CARE
01
567567
SELECT CARE
01
AN250004
M CARE INC
01
EM033063
HEALTH ALLIANCE PLAN
01
M001301
TRICARE REGION 2 AND 5
Enumeration date
01/09/2007
Last updated
07/08/2007
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