Individual
JOHN WILLIAM MALO
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
2828 CHICAGO AVE, STE 400, MINNEAPOLIS, MN 55407-1544
(612) 863-5390
(612) 863-2697
Mailing address
2828 CHICAGO AVE, STE 400, MINNEAPOLIS, MN 55407-1544
(612) 863-5390
(612) 863-2697
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
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