Individual
MARY B MALOTKY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CNM
Taxonomy
Speciality
Code
Description
License number
State
367A00000X
Advanced Practice Midwife
Primary
7798
MN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
030528600
—
MN
01
—
07-00273
MEDICA
MN
01
—
164363
UCARE
MN
01
—
46G39MA
BLUE CROSS BLUE SHIELD
MN
Enumeration date
04/21/2006
Last updated
11/28/2007
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