NPI 1043272396

Jack Edward Maloney, MD

Practitioner Dermatology Physician West Allis, WI

Practice location

Address: 2323 S 102nd St, West Allis, WI 53227-2103
Phone: (414) 541-9900
Fax: (414) 329-2238
Mailing address: 788 N. Jefferson Street Suite 300/Attn Kaaren Butzen, Milwaukee, WI 53202-3710

Registered specialties

Dermatology Physician Primary

Allopathic & Osteopathic Physicians Taxonomy 207N00000X Licence 44691 (WI)

Other Dermatology providers in Wisconsin →

Registry record

NPI: 1043272396
Entity type: Individual
Sex (as registered): Male
NPI issued: 3 Apr 2006
Record last updated: 9 Nov 2016

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.