person
Mark David Malnor, MD
Diagnostic Radiology Physician in Grand Rapids, Michigan
NPI 1881618239

Mark David Malnor is a Diagnostic Radiology Physician based in Saginaw, MI and is specialized in Diagnostic Radiology. Mark David Malnor practices in Grand Rapids, MI and has the professional credentials of MD. The NPI Number for Mark David Malnor is 1881618239 and holds a License No. 4301048475 (Michigan).

The current practice location address for Mark David Malnor is 200 Jeffeson Se, Grand Rapids, MI and can be reached out via phone at 616-364-6700 and via fax at 616-364-4960.

Location: 200 Jeffeson Se, Grand Rapids, MI, 48603-0329
person
Provider Profile Details
NPI Number
1881618239
Provider Name
Mark David Malnor
Credential
MD
Provider Entity Type
Individual
Gender
Male
Address
200 Jeffeson Se, Grand Rapids, MI, 48603-0329
Phone Number
616-364-6700
Fax Number
616-364-4960
Provider Enumeration Date
07/27/2006
Last Update Date
03/08/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
1662851100 05 MI
300044873 01 MI RR MEDICAID
institution
Provider Business Practice Location Address Details
Address
200 Jeffeson Se
City
State
Zip
49503
Phone Number
616-364-6700
Fax Number
616-364-4960
person
Provider Business Mailing Address Details
Address
200 Jeffeson Se
City
State
Zip
49503
Phone Number
616-364-6700
Fax Number
616-364-4960
person
Provider's Taxonomy Details 1
Type
Allopathic & Osteopathic Physicians
Classification
Radiology
Speciality
Diagnostic Radiology
Taxonomy
License No.
4301048475 (Michigan)
Definition
A radiologist who utilizes x-ray, radionuclides, ultrasound and electromagnetic radiation to diagnose and treat disease.
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