Provider Demographics
NPI:1548223464
Name:MALUF, CHRISTIAN F (MD, FACP, FCCP)
Entity Type:Individual
Prefix:DR
First Name:CHRISTIAN
Middle Name:F
Last Name:MALUF
Suffix:
Gender:M
Credentials:MD, FACP, FCCP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:PO BOX 22487
Mailing Address - Street 2:
Mailing Address - City:GREEN BAY
Mailing Address - State:WI
Mailing Address - Zip Code:54305-2487
Mailing Address - Country:US
Mailing Address - Phone:920-445-7226
Mailing Address - Fax:920-445-7289
Practice Address - Street 1:744 S WEBSTER AVE
Practice Address - Street 2:
Practice Address - City:GREEN BAY
Practice Address - State:WI
Practice Address - Zip Code:54301-3505
Practice Address - Country:US
Practice Address - Phone:920-445-7222
Practice Address - Fax:920-445-7289
Is Sole Proprietor?:No
Enumeration Date:2006-04-11
Last Update Date:2020-06-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TXL4554207RH0002X, 207RP1001X
WI73395-20207RP1001X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207RP1001XAllopathic & Osteopathic PhysiciansInternal MedicinePulmonary Disease
No207RH0002XAllopathic & Osteopathic PhysiciansInternal MedicineHospice and Palliative Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
ABIM-MOCOtherAMERICAN BOARD OF INTERNAL MEDICINE/PULMONARY DISEASE
TX00900VMedicaid
TX8B2627Medicare ID - Type UnspecifiedPROVIDER NUMBER
TX275675YNQ4Medicare PIN