Individual
GARRY BERNARD MALNAR
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
D.O.
Contact information
Practice address
520 S 7TH ST, VINCENNES, IN 47591-1038
(812) 882-6717
(812) 882-8620
Mailing address
PO BOX 1466, VINCENNES, IN 47591-7466
(812) 882-6717
(812) 882-8620
Taxonomy
Speciality
Code
Description
License number
State
2085R0202X
Diagnostic Radiology Physician
Primary
02000859A
IN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
200132850
—
IN
Enumeration date
07/03/2006
Last updated
12/10/2012
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