Individual
EDWARD J MALONE III
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
815 10TH STREET S., LA CROSSE, WI 54601-4700
(608) 392-7390
Mailing address
815 10TH STREET S., LA CROSSE, WI 54601-4700
(608) 392-7390
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
34774
WI
207Q00000X
Family Medicine Physician
38245
MN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
171717100
—
MN
Enumeration date
04/01/2006
Last updated
09/15/2020
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