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Contact Information

BRETT J MALO, MD
3021 VOYAGER DR
GREEN BAY, WI54311-8303
 Phone: 920-496-4700
 Fax:
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Pain Medicine

208VP0000X 72 Physician/Pain Management
 

Student in an Organized Health Care Education/Training Program

390200000X
Indicates primary specialty

NPI Profile & details for BRETT J MALO · (Male)

NPI Number 1578706255
Status Active
Credentials MD
Entity Individual
Enumeration date 04/11/2009
Last updated 07/08/2013 - About 13 years ago
Sole proprietor 1 No
Identifiers
  • WI License # 60831-20
Hospital affiliation(s)
  • ST VINCENT HSPTL - (Acute Care)
    835 S VAN BUREN ST
    GREEN BAY, WI 54301
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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