Organization
MERLYN J MALOLA INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. MERLYN J. MALOLA M.D. (OWNER)
(765) 284-0493
Entity
Organization
Contact information
Practice address
710 N EAST ST, WABASH, IN 46992-1914
(765) 284-0493
Mailing address
PO BOX 41, MUNCIE, IN 47308-0041
(765) 284-0493
Taxonomy
Speciality
Code
Description
License number
State
207L00000X
Anesthesiology Physician
Primary
—
IN
Other
Enumeration date
02/23/2007
Last updated
09/12/2007
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