Individual
DR. JERALD B MALTZMAN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
4744 WENDRICK DR, W. BLOOMFIELD, MI 48323
(248) 855-1114
Mailing address
4744 WENDRICK, W. BLOOMFIELD, MI 48323
(248) 855-1114
Taxonomy
Speciality
Code
Description
License number
State
2085R0202X
Diagnostic Radiology Physician
01021892A
IN
2085R0202X
Diagnostic Radiology Physician
Primary
4301026478
MI
2085R0202X
Diagnostic Radiology Physician
C30021
CA
Other
Enumeration date
06/01/2007
Last updated
07/08/2007
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