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Individual

MR. GENADI MALTINSKI

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
M.D.

Contact information

Practice address
3131 LA CANADA ST STE 200, LAS VEGAS, NV 89169-2579
(702) 369-5582
(702) 650-5148
Mailing address
PO BOX 98978, LAS VEGAS, NV 89193-8978
(702) 216-3346
(702) 671-6883

Taxonomy

Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
18514
NV
207Q00000X
Family Medicine Physician
38713-020
WI

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
1134250905
CMH PCC G NPI
WI
01
1326349135
CMH SB NPI
WI
05
1710966288
NV
01
18514
STATE LICENSE
NV
01
1851477913
CMH NPI
WI
Enumeration date
01/12/2006
Last updated
04/08/2020
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