Individual
MATTHEW T MALONE
Active
Individual
MATTHEW T MALONE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
D.O.
Taxonomy
Speciality
Code
Description
License number
State
2084P0805X
Geriatric Psychiatry Physician
Primary
5794
SD
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
040121002
PRIMEWEST
MN
05
—
0722587
—
IA
05
—
12200
—
ND
05
—
156692000
—
MN
01
—
2152654
ARAZ/ AMERICA'S PPO
SD
01
—
250264
MIDLANDS CHOICE
SD
01
—
370624200
DEPT OF LABOR
SD
01
—
412991041698
PREFERRED ONE
SD
05
—
46022474352
—
NE
01
—
4994072
BLUE CROSS
SD
01
—
53583
SANFORD HEALTH PLAN
SD
01
—
57108C011
WPS TRICARE
SD
01
—
5794
DAKOTACARE
SD
01
—
99G68MA
CC SYSTEMS/ BLUE PLUS
MN
01
—
HP42927
HEALTHPARTNERS
SD
Enumeration date
05/24/2006
Last updated
09/13/2021
Update your record
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