SANFORD R. MALLIN M.D. NPI 1699716290

NPI Information

NPI: 1699716290
Provider Name: SANFORD R. MALLIN, M.D.
Classification: Internal Medicine - 207RE0101X
Entity Type: Individual

Specialization: Endocrinology, Diabetes & Metabolism

Address:
788 N JEFFERSON ST
SUITE 300
MILWAUKEE, WI
ZIP 53202
Phone: (414) 272-8950
Get Directions

Sanford R. Mallin, M.D. is an endocrinology and diabetes and metabolism internal medicine in Milwaukee, WI. The provider is an internist who concentrates on disorders of the internal (endocrine) glands such as the thyroid and adrenal glands. This specialist also deals with disorders such as diabetes, metabolic and nutritional disorders, obesity, pituitary diseases and menstrual and sexual problems. Sanford R. Mallin, M.D. NPI is 1699716290. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a male.

The provider's business location address is:

788 N JEFFERSON ST
SUITE 300
MILWAUKEE, WI
ZIP 53202-718
Phone: (414) 272-8950
Fax: (414) 272-0859

The enumeration date for this NPI number is 6/8/2006 and was last updated on 7/8/2007.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	207RE0101X	Internal Medicine	Endocrinology, Diabetes & Metabolism	13078	WISCONSIN	Yes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.	Other Provider Identifier	Other Provider Identifier Type	Other Provider Identifier State
1	30915100	MEDICAID	WISCONSIN
2	B54779	MEDICARE UPIN
3	02576	MEDICARE ID-TYPE UNSPECIFIED	WISCONSIN

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/14/2023

NPI Synchronization or Removal

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