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Individual

DR. IRWIN BERNARD MALAMENT

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
D.P.M.

Contact information

Practice address
3410 N HIGH SCHOOL RD, INDIANAPOLIS, IN 46224-1742
(317) 299-2644
(317) 328-8914
Mailing address
3410 N HIGH SCHOOL RD, INDIANAPOLIS, IN 46224-1100
(317) 299-2644
(317) 328-8914

Taxonomy

Speciality
Code
Description
License number
State
213ES0103X
Foot & Ankle Surgery Podiatrist
Primary
7000441
IN

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
100319520A
IN
Enumeration date
02/13/2006
Last updated
09/23/2009
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