Individual
MARCIO HENRIQUE MALOGOLOWKIN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
2516 STOCKTON BLVD, SACRAMENTO, CA 95817-2208
(916) 734-2781
Mailing address
2516 STOCKTON BLVD, SACRAMENTO, CA 95817-2208
(916) 734-2781
(916) 451-3014
Taxonomy
Speciality
Code
Description
License number
State
2080P0207X
Pediatric Hematology & Oncology Physician
57273-20
WI
2080P0207X
Pediatric Hematology & Oncology Physician
Primary
A49278
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
00A492780
—
CA
01
—
00A492780 G15
CAL OPTIMA
CA
Enumeration date
09/22/2006
Last updated
03/17/2018
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