Individual
ANTHONY MALENCH
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
10 PROFESSIONAL PARK DR, MARYVILLE, IL 62062-5672
(618) 288-7244
(618) 288-1980
Mailing address
103B SOUTHPOINTE, EDWARDSVILLE, IL 62025-3651
(618) 692-9640
(618) 692-9643
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
036063954
IL
Other
Enumeration date
11/02/2006
Last updated
07/08/2007
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