Individual
DR. CLAYTON R. MALAKER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
824 VAN BUREN ST, BELVIDERE, IL 61008-2252
(815) 544-3481
(815) 544-3700
Mailing address
824 VAN BUREN ST, BELVIDERE, IL 61008-2252
(815) 544-3481
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
036075458
IL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
036075458
—
IL
Enumeration date
08/02/2005
Last updated
03/16/2010
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