MICHELLE HUSMILLO MALABANAN


Address: 3130 Shore Dr, Marinette, WI 54143-4291
Phone: 7157357421

MICHELLE HUSMILLO MALABANAN (NPI# 1144410291) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1144410291
Entity Type Individual
Full Name MICHELLE HUSMILLO MALABANAN
Credential MD
Practice Address 3130 Shore Dr
Marinette
WI 54143-4291
Mailing Address Po Box 22487
Green Bay
WI 54305-2487
Practice Telephone 7157357421
Mailing Telephone 9204457226
Mailing Fax Number 9204457238
Enumeration Date 2007-07-25
Last Update Date 2020-02-18
Gender Code F
Is Sole Proprietor N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 207RN0300X Internal Medicine
Specialization: Nephrology
60162-20 WI Allopathic & Osteopathic Physicians

Office Location

Street Address 3130 SHORE DR
City MARINETTE
State WI
Zip Code 54143-4291

Providers in the same location

NPI Name Taxonomy Address Enumeration
1417992959 Baycare Clinic LLP Durable Medical Equipment & Medical Supplies 3130 Shore Dr, Ste 109, Marinette, WI 54143-4291 2006-06-18
1861937153 Natalie Lashmet Registered Nurse 3130 Shore Dr, Marinette, WI 54143-4291 2016-12-22
1174981047 Aurora Bay Area Medical Group, LLC Durable Medical Equipment & Medical Supplies 3130 Shore Dr, Suite 30, Marinette, WI 54143-4291 2016-02-05
1407214794 Aurora Bay Area Medical Group, LLC Durable Medical Equipment & Medical Supplies 3130 Shore Dr, Marinette, WI 54143-4291 2016-02-02
1073884839 Bay Area Medical Center, Inc Psychiatry & Neurology 3130 Shore Dr, Suite 111, Marinette, WI 54143-4291 2012-01-25
1316218175 Bay Area Medical Center, Inc Internal Medicine 3130 Shore Dr, Suite 106, Marinette, WI 54143-4291 2012-01-25
1326319187 Bay Area Medical Center, Inc Surgery 3130 Shore Dr, Suite 020, Marinette, WI 54143-4291 2012-01-25
1396015194 Bay Area Medical Center, Inc Urology 3130 Shore Dr, Suite 020, Marinette, WI 54143-4291 2012-01-10
1760668529 Shobha Ramaiah Internal Medicine 3130 Shore Dr, Marinette, WI 54143-4291 2008-01-11
1982822763 Adeel Khan Surgery 3130 Shore Dr, Marinette, WI 54143-4291 2007-04-24
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Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1669966750 Allie Parthie Dentist 1420 University Dr, Marinette, WI 54143 2018-06-21
1043730690 Jonathan Weseman Emergency Medicine 3003 University Dr, Marinette, Marinette, WI 54143 2017-06-25
1538698618 Meghan M Russell Nurse Practitioner 4061 Old Peshtigo Road, Marinette, WI 54143 2017-06-12
1801279435 Stephanie Miller Licensed Practical Nurse W1902 State Hwy 64, Marinette, WI 54143 2015-07-01
1417298704 Danielle Risner Occupational Therapist Luther Home 831 Pine Beach Rd, Marinette, WI 54143 2013-03-12
1053631903 Lincare Inc. Durable Medical Equipment & Medical Supplies W 716 County B, Ste B, Marinette, WI 54143 2010-06-02
1417105545 Forefront Dermatology, S.c. Dermatology 3515 Murray Street, Marinette, WI 54143 2008-09-03
1245493352 Judith M Ribbens Counselor 1557 Cleveland Ave, Marinette, WI 54143 2008-07-08
1538338926 Charlene Mae Miller Licensed Practical Nurse 1126 Daggett, Marinette, WI 54143 2008-02-29
1104025519 James Alan Boren Family Medicine 5926 Highway 41, Stephenson, MI 54143 2007-07-16
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Taxonomy Information

Taxonomy Code 207RN0300X
Grouping Allopathic & Osteopathic Physicians
Classification Internal Medicine
Specialization Nephrology

Taxonomy Definition

An internist who treats disorders of the kidney, high blood pressure, fluid and mineral balance and dialysis of body wastes when the kidneys do not function. This specialist consults with surgeons about kidney transplantation.
Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: added definition, added source; 7/1/2011: modified source]
- Additional Resources: American Board of Internal Medicine, 2007. http://www.abim.org/. American Osteopathic Board of Internal Medicine, 2007. http://www.osteopathic.org/certification
- Board certification for Medical Doctors (MDs) is provided by the American Board of Internal Medicine. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Internal Medicine.

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1902036569 Mahmoud Turki Kamel Internal Medicine 4061 Old Peshtigo Rd, Marinette, WI 54143-3887 2009-07-16

Providers in the same taxonomy and state

NPI Name Taxonomy Address Enumeration
1841823390 Kelby Roholt Internal Medicine 305 E Mahn Ct, Oak Creek, WI 53154-2101 2020-02-12
1477186922 Sydney Kemps Internal Medicine 507 N 17th St, Milwaukee, WI 53233-5495 2020-02-12
1053708511 Rishi Kora Internal Medicine 5650 N Green Bay Ave Ste 210, Glendale, WI 53209-4447 2015-04-22
1841523818 Sana Waheed Internal Medicine 301 S Yellowstone Dr Apt 306, Madison, WI 53705-4378 2009-09-09
1841426798 Wisconsin Vascular Access and Nephrology Internal Medicine 1962 N Prospect Ave # 310, Milwaukee, WI 53202-1414 2009-06-05
1184865099 Zurab Albekioni Internal Medicine 3000 Westhill Dr Ste 108, Wausau, WI 54401-3795 2009-03-23
1104095017 Mark Y Nunag Internal Medicine 2050 Continential Drive, West Bend, WI 53095 2008-02-25
1649448259 Crystalkinetics, LLC Internal Medicine 4113 N Lake Dr, Shorewood, WI 53211-1720 2008-02-16
1699975193 Dawn Wolfgram Internal Medicine 5000 W National Ave # Cc-111k, Milwaukee, WI 53295-1000 2007-07-23
1366657710 Deepak Sharma Internal Medicine 7797 W Appletone Ave, Milwaukee, WI 53222 2007-05-11
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Competitor

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City MARINETTE
Zip Code 54143

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Dataset Information

Data Provider Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES)
Jurisdiction Medicare & Medicaid

This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.

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