Malloy, Thomas G.

Malloy, Thomas G. is an individual health care provider with primary practice located at 400 E 3Rd St Essentia Health Duluth Clinic, Duluth MN 55805-1951. He recently has only one registered license in Allopathic & Osteopathic Physicians / Gastroenterology, which is considered as his primary health care specialty. Malloy, Thomas G. can be contacted via phone (218) 786-8364.

Contact Information

Primary practice address
400 E 3Rd St Essentia Health Duluth Clinic Duluth MN 55805-1951
Phone: (218) 786-8364
Fax: (218) 786-8364
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Gastroenterology 207RG0100X 31007 Wisconsin
Allopathic & Osteopathic Physicians / Gastroenterology 207RG0100X 107458 Minnesota

Profile Details

NPI number 1285696161
LBN Legal business name Malloy, Thomas G.
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Apr 5th, 2006
Last updated May 6th, 2014 - about 12 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1285696161 NPPES
Wisconsin MEDICAID 31598000
Wisconsin Other P00700736

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