Individual
IAN MALBURG
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
1823 COLLEGE AVE, MANHATTAN, KS 66502-3381
(785) 323-6300
Mailing address
1823 COLLEGE AVE, MANHATTAN, KS 66502-3381
(785) 323-6300
Taxonomy
Speciality
Code
Description
License number
State
207LP2900X
Pain Medicine (Anesthesiology) Physician
Primary
04-39326
KS
207LP2900X
Pain Medicine (Anesthesiology) Physician
R-10248
IA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
201142140A
—
KS
Enumeration date
06/27/2011
Last updated
04/03/2017
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