Individual
HERBERT L MALINOFF
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
325 E EISENHOWER, SUITE 100, ANN ARBOR, MI 48108-5721
(734) 763-5459
Mailing address
3621 S STATE ST, ANN ARBOR, MI 48108-1633
(734) 647-5299
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
4301043760
MI
207RA0401X
Addiction Medicine (Internal Medicine) Physician
HM043760
MI
2084A0401X
Addiction Medicine (Psychiatry & Neurology) Physician
Primary
4301043760
MI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
110H113170
BLUE CROSS
MI
01
—
124941
PREFERRED CHOICES
MI
01
—
202364029
TAX ID
MI
01
—
HM043760
STATE LICENSE
MI
Enumeration date
07/11/2006
Last updated
12/16/2020
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