Doctor Name: | ROBERT MALINOWSKI |
NPI Number: | 1043450091 |
Entity Type Code: | Individual (1) |
Gender: | M |
Credentials: | D.O. |
License Number: | 34001718 |
Business Practice Address: | 600 State Rd Suite 108 Ashtabula, OH - 440043933 |
Business Phone Number: | 4409984791 |
Business Fax Number: | 4409980642 |
Mailing Address: | 600 State Rd, Suite 108 ASHTABULA |
State: | OH |
Postal Code: | 440043933 |
Phone Number: | 4409984791 |
Fax Number: | 4409980642 |
NPI Enumeration Date: | 03/04/2009 |
NPI Last Update Date: | 03/04/2009 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 208D00000X |
License Number: | 34001718 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | OH |
Taxonomy Type: | Allopathic & Osteopathic Physicians |
Taxonomy Classification: | General Practice |
Taxonomy Specialization: | |
Taxonomy Definition: |