Individual
DANIEL G MALONE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
705 S UNIVERSITY AVE, STE 150, BEAVER DAM, WI 53916-3053
(920) 885-2663
(920) 885-2466
Mailing address
1515 PARK AVE, COLUMBUS, WI 53925-1618
(920) 623-2200
Taxonomy
Speciality
Code
Description
License number
State
207RR0500X
Rheumatology Physician
Primary
28394
WI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1002676
PHYSICIANS PLUS
WI
05
—
30821700
—
WI
Enumeration date
02/28/2006
Last updated
10/08/2020
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