Provider Demographics
NPI:1508078528
Name:MALINAK, DENNIS P (MD)
Entity Type:Individual
Prefix:
First Name:DENNIS
Middle Name:P
Last Name:MALINAK
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
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Other - Credentials:
Mailing Address - Street 1:9705 LOST PRAIRIE RD
Mailing Address - Street 2:
Mailing Address - City:MARION
Mailing Address - State:MT
Mailing Address - Zip Code:59925-9844
Mailing Address - Country:US
Mailing Address - Phone:406-858-2339
Mailing Address - Fax:406-858-2356
Practice Address - Street 1:9705 LOST PRAIRIE RD
Practice Address - Street 2:
Practice Address - City:MARION
Practice Address - State:MT
Practice Address - Zip Code:59925-9844
Practice Address - Country:US
Practice Address - Phone:406-858-2339
Practice Address - Fax:406-858-2356
Is Sole Proprietor?:Yes
Enumeration Date:2007-05-03
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
MT63322084P0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2084P0800XAllopathic & Osteopathic PhysiciansPsychiatry & NeurologyPsychiatry