Individual
DR. ANNEMARIE MALLICK
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
D.O.
Contact information
Practice address
1411 E 31ST ST, DEPT. OF MEDICINE, HIGHLAND HOSPITAL, OAKLAND, CA 94602-1018
(510) 437-4403
Mailing address
1411 E 31ST ST, DEPT. OF MEDICINE, HIGHLAND HOSPITAL, OAKLAND, CA 94602-1018
(510) 437-4403
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
20A7201
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
AX72010
—
CA
Enumeration date
03/14/2006
Last updated
05/07/2013
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