Individual
DR. AVEN DAWN MALEC
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DO
Contact information
Practice address
6300 WILSON MILLS RD, W31, MAYFIELD VILLAGE, OH 44143-2109
(855) 893-1033
(855) 529-7659
Mailing address
6300 WILSON MILLS RD, W31, MAYFIELD VILLAGE, OH 44143-2109
(855) 893-1033
(855) 529-7659
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
34-007967
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
000000339430
ANTHEM
OH
05
—
2472917
—
OH
01
—
264200000
DEPT OF LABOR
OH
01
—
341425870042
MEDICAL MUTUAL OF OHIO
OH
01
—
6600162
UNITED HEALTHCARE
OH
01
—
80507
QUALCHOICE
OH
Enumeration date
03/27/2006
Last updated
06/14/2016
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