Individual
DR. IAN-JAMES MALM
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
1021 BANDANA BLVD E STE 100, SAINT PAUL, MN 55108-5109
(651) 241-9700
Mailing address
2925 CHICAGO AVE, MINNEAPOLIS, MN 55407-1321
(612) 262-5000
Taxonomy
Speciality
Code
Description
License number
State
207Y00000X
Otolaryngology Physician
Primary
64476
MN
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
01/24/2012
Last updated
11/09/2020
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