Individual
DR. ANDREA K MALANOWSKI
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
119 CAMPUS, BOULDER, CO 80309-0119
(303) 492-5101
Mailing address
1042 BEREA DR, BOULDER, CO 80305-6535
(303) 494-8407
Taxonomy
Speciality
Code
Description
License number
State
261Q00000X
Clinic/Center
Primary
28482
CO
Other
Enumeration date
03/23/2007
Last updated
07/08/2007
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