Individual
SAMANTHA MALM
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA-C
Contact information
Practice address
1450 EASTSIDE RD, PLATTEVILLE, WI 53818-9800
(608) 348-2331
Mailing address
1450 EASTSIDE RD, PLATTEVILLE, WI 53818-9800
(608) 348-2331
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
5104-23
WI
Other
Enumeration date
05/18/2020
Last updated
10/28/2025
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