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Individual

DONALD D MALCOLM

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
MD

Contact information

Practice address
1500 E MEDICAL CENTER DRIVE, 11TH FLOOR CS MOTT CHILDRENS HOSPITAL ROOM 661, ANN ARBOR, MI 48109-9470
(734) 764-5176
Mailing address
3621 S STATE ST, 700 KMS PLACE, ANN ARBOR, MI 48108
(734) 936-2047

Taxonomy

Speciality
Code
Description
License number
State
2080P0202X
Pediatric Cardiology Physician
Primary
4301406986
MI

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
2821139
MI
Enumeration date
10/04/2006
Last updated
12/04/2014
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