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Individual

DR. MICHAEL J MALINOWSKI

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
MD

Contact information

Practice address
9200 W WISCONSIN AVE, VASCULAR SURGERY, MILWAUKEE, WI 53226-3522
(414) 805-9160
(414) 805-9170
Mailing address
9200 W WISCONSIN AVE, VASCULAR SURGERY, MILWAUKEE, WI 53226-3522
(414) 805-9160
(414) 805-9170

Taxonomy

Speciality
Code
Description
License number
State
208600000X
Surgery Physician
125051307
IL
2086S0129X
Vascular Surgery Physician
036.126901
IL
2086S0129X
Vascular Surgery Physician
125051307
IL
2086S0129X
Vascular Surgery Physician
Primary
60794
WI

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
1316100860
WI
Enumeration date
07/04/2008
Last updated
10/03/2013
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