Individual
HARRY DOUGLAS MALCOLM
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
9940 N COUNTY HWY K, HAYWARD, WI 54843-2186
(715) 638-5100
(715) 634-6107
Mailing address
9940 N COUNTY HWY K, HAYWARD, WI 54843-2186
(715) 638-5100
(715) 634-6107
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
38164-020
WI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1144251166
—
WI
05
—
32246500
—
WI
Enumeration date
07/06/2006
Last updated
06/02/2025
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