Individual
DR. PATRICK M MALONEY
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
560 W MITCHELL ST, SUITE 400, PETOSKEY, MI 49770-2275
(231) 487-2490
(231) 487-9803
Mailing address
560 W MITCHELL ST, SUITE 400, PETOSKEY, MI 49770-2275
(231) 487-2490
(231) 487-9803
Taxonomy
Speciality
Code
Description
License number
State
207RC0000X
Cardiovascular Disease Physician
Primary
4301049513
MI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0602408111
BLUE SHIELD INDIVIDUAL PI
MI
05
—
4087225
—
MI
01
—
P54388
BLUE CARE NETWORK
MI
Enumeration date
07/26/2006
Last updated
01/16/2014
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