Michael L Malone
Geriatric Medicine
1020 N 12th St 3rd Floor
Milwaukee
, Wisconsin 53233-1308
Michael L Malone
Geriatric Medicine
1020 N 12th St 3rd Floor
Milwaukee
, Wisconsin 53233-1308
(262) 781-8921
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About
Features
Specialties
- Geriatric Medicine
Languages spoken
- English
Location
First Address
- Michael L Malone
- 13475 Commons Dr
- Brookfield, WI
- Zip : 53005-3378
- Phone : (262) 781-8921
Second Address
- Michael L Malone
- 1020 N 12th St 3rd Floor
- Milwaukee, WI
- Zip : 53233-1308
- Phone : (414) 219-7300
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Scope of Practice
| Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
|---|---|---|---|---|
| Y | 207RG0300X | Geriatric Medicine | 26583-020 | WI |
National Provider Identifier
| NPI | 1053469536 |
|---|---|
| Provider Name | Michael L Malone |
| First Address | Brookfield, WI 53005-3378 |
| Second Address | Milwaukee, WI 53233-1308 |
| Gender | M |
| NPI Entity type | Individual |
| Is Sole Proprietor | No |
| Is Organization Subpart | N/A |
| Enumeration Date | 08/01/2007 |
| Last Update Date | 24/11/2021 |
Additional Identifiers
| IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
|---|---|---|
| 31373200 | (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.