Jack Edward Maloney
Dermatologist
2323 S 102nd St
West Allis
, Wisconsin 53227-2103
Jack Edward Maloney
Dermatologist
2323 S 102nd St
West Allis
, Wisconsin 53227-2103
(414) 272-0859
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About
Features
Specialties
- Dermatologist
Languages spoken
- English
Location
First Address
- Jack Edward Maloney
- 788 N. Jefferson Street Suite 300/attn Kaaren Butzen
- Milwaukee, WI
- Zip : 53202-3710
- Fax : (414) 272-0859
- Phone : (414) 272-8950
Second Address
- Jack Edward Maloney
- 2323 S 102nd St
- West Allis, WI
- Zip : 53227-2103
- Fax : (414) 329-2238
- Phone : (414) 541-9900
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Scope of Practice
| Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
|---|---|---|---|---|
| Y | 207N00000X | Dermatologist | 44691 | WI |
National Provider Identifier
| NPI | 1043272396 |
|---|---|
| Provider Name | Jack Edward Maloney |
| First Address | Milwaukee, WI 53202-3710 |
| Second Address | West Allis, WI 53227-2103 |
| Gender | M |
| NPI Entity type | Individual |
| Is Sole Proprietor | No |
| Is Organization Subpart | N/A |
| Enumeration Date | 03/04/2006 |
| Last Update Date | 09/11/2016 |
Additional Identifiers
| IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
|---|---|---|
| 1043272396 | (05) | WI |
NPI Footnotes
What is the National Provider Identifier (NPI)
Provider Location Address
Provider Mailing Address
Entity Type Code
1= Person: individual human being who furnishes health care;
2= Non-person: entity other than an individual human being that furnishes health care (Examples: hospital, SNF, hospital subunit, pharmacy, or HMO)
What is a Subpart?
Provider Other Organization Name
1 = former name;
2 = professional name;
3 = doinq business as (d/b/ a) name;
4 = former legal business name;
5 = other.