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Individual

STEVEN J MALEK

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
MD

Contact information

Practice address
740 MCKINLEY AVE, KELLOGG, ID 83837-2693
(208) 625-4000
Mailing address
PO BOX 1387, HAYDEN, ID 83835-1387
(208) 415-0299

Taxonomy

Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
M5385
ID

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
003837700
ID
Enumeration date
08/23/2005
Last updated
04/03/2023
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