Paul Gordon Malen DO

NPI 1043327505 - Family Medicine - 207Q00000X

NPI Details
NPI 1043327505
Gender Male
Enumeration Date 08/23/2006
Last Updated 07/09/2007
Entity Type Individual
Active Over 10 years ago
Practice Location
2323 S 109TH ST
#220
WEST ALLIS WI, 53227, US
Phone (414) 541-5222
Fax (414) 541-4959
Business Location
3301 W FOREST HOME AVE
MILWAUKEE WI, 53215-2843, US
Phone (414) 647-6326
Fax (414) 671-8860
Toxanomy
Taxonomy Code 207Q00000X
License State Wisconsin
License Number 25843
Remove 1043327505 NPI Number
 

According to our database, Dr. Paul Gordon Malen DO NPI is 1043327505, taxonomy code is 207Q00000X and license number is 25843, license state is located at Wisconsin. Paul Gordon Malen DO physically located at 2323 S 109th St, West Allis WI, 53227. NPI Number Paul Gordon Malen DO has the Individual type.

Sponsored links

1043327505 NPI number is provided on an as is basis without warranty of any kind. 1043327505 is maintained by the National Plan & Provider Enumeration System. The contents of Paul Gordon Malen DO are for informational purposes only.