Individual
JOHN WILLIAM MALO
Active
Individual
JOHN WILLIAM MALO
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Taxonomy
Speciality
Code
Description
License number
State
207VE0102X
Reproductive Endocrinology Physician
Primary
23884
MN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0255502
PREFERRED ONE
MN
01
—
64G46MA
BLUE CROSS
MN
01
—
7425178
MEDICA
MN
01
—
768243
AMERICAS PPO
MN
01
—
HP13904
HEALTH PARTNERS
MN
Enumeration date
05/08/2006
Last updated
07/24/2009
Update your record
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