Individual
DR. GENEVIEVE M MALONEY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
2864 ASHMUN ST, SAULT SAINTE MARIE, MI 49783-3740
(906) 632-5200
Mailing address
2864 ASHMUN ST, SAULT SAINTE MARIE, MI 49783-3740
(906) 632-5200
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
01050953
IN
207Q00000X
Family Medicine Physician
Primary
4301079452
MI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
000000383666
BLUE CROSS
IN
01
—
000000580323
BCBS
IN
05
—
200183770
—
IN
Enumeration date
06/19/2006
Last updated
11/21/2011
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