Malo, Brett Jonathan

Malo, Brett Jonathan is an individual health care provider with primary practice located at 3021 Voyager Dr , Green Bay WI 54311-8303. He recently has 2 registered licenses in different health care specialties including Student, Health Care / Student in an Organized Health Care Education/Training Program, Allopathic & Osteopathic Physicians / Pain Medicine. Allopathic & Osteopathic Physicians / Pain Medicine is his primary health care specialty. Malo, Brett Jonathan can be contacted via phone (920) 496-4700.

Contact Information

Primary practice address
3021 Voyager Dr Green Bay WI 54311-8303
Phone: (920) 496-4700
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Student, Health Care / Student in an Organized Health Care Education/Training Program 390200000X
Allopathic & Osteopathic Physicians / Pain Medicine 208VP0000X 60831-20 Wisconsin

Profile Details

NPI number 1578706255
LBN Legal business name Malo, Brett Jonathan
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Apr 11th, 2009
Last updated Jul 8th, 2013 - about 13 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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