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Individual

MARK D MALINOWSKI

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
MD

Contact information

Practice address
13201 GRANGER RD STE 2, GARFIELD HTS, OH 44125-1979
(216) 475-8844
(216) 475-3816
Mailing address
24701 EUCLID AVE, EUCLID, OH 44117-1714
(216) 475-8844
(216) 475-3816

Taxonomy

Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary
35-073510
OH

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
000000182666
ANTHEM
OH
01
000000221398
UNISON
OH
01
000000526085
ANTHEM
OH
01
2123491
BCMH
OH
05
2123491
OH
01
2156576
AETNA
OH
01
363799
WELLCARE
OH
01
732591
BUCKEYE
OH
Enumeration date
07/24/2006
Last updated
07/29/2011
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