Individual
NATALIE MAE MALVIK
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
1201 S GRAND BLVD, SAINT LOUIS, MO 63104-1016
(314) 977-4644
(314) 977-7879
Mailing address
1402 S GRAND BLVD, SAINT LOUIS, MO 63104-1004
(314) 977-4646
(314) 977-7618
Taxonomy
Speciality
Code
Description
License number
State
207ZB0001X
Blood Banking & Transfusion Medicine Physician
Primary
2021042904
MO
207ZB0001X
Blood Banking & Transfusion Medicine Physician
281536
MA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
110158276A
—
MA
Enumeration date
06/08/2014
Last updated
12/09/2021
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