Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
N | 204F00000X | Transplant Surgeon | 38065 | WI |
Y | 208G00000X | Cardiothoracic Vascular Surgeon | 38065 | WI |
NPI | 1386695047 |
---|---|
Provider Name | James D. Maloney |
First Address | Middleton, WI 53562-5531 |
Second Address | Madison, WI 53792-0001 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 15/05/2006 |
Last Update Date | 28/01/2015 |