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Mall, Justin

CPSO#: 99366

MEMBER STATUS
Active Member as of 23 Oct 2012
CURRENT OR PAST CPSO REGISTRATION CLASS
Independent Practice as of 16 Oct 2014

Summary

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Former Name: No Former Name

Gender: Male

Languages Spoken: English

Education: Medical University of the Americas (Beli, 2006

Practice Information

Primary Location of Practice
4130 Glenview Avenue, Unit 3
Petrolia ON  N0N 1R0
Phone: (519) 882-2500
Fax: (519) 882-4321 Electoral District: 01

Additional Practice Location(s)

Bluewater Health
89 Norman Street
Sarnia ON  N7T 6S3
Canada
Phone: (519) 464-4400
County: County of Lambton
Electoral District: 01
Fiddick's Nursing Home
437 First Avenue
Petrolia ON  N0N 1R0
Canada
Phone: (519) 882-0370
County: County of Lambton
Electoral District: 01
Bluewater Health (CEEH Site)
450 Blanche Street
Petrolia ON  N0N 1R0
Canada
Phone: (519) 882-1170
County: County of Lambton
Electoral District: 01
Doctors Walk-In Medical Clinic
641 Commissioners Road East
London ON  N6C 2T9
Canada
Phone: 519-686-8585
Fax: 519-686-8580
County: County of Middlesex
Electoral District: 02
Lambton Meadowview Villa
3958 Petrolia Line
Petrolia ON  N0N 1R0
Canada
Phone: (519) 882-0590
County: County of Lambton
Electoral District: 01

Professional Corporation Information


Corporation Name: Justin Mall Medicine Professional Corporation
Certificate of Authorization Status: Issued Date:  Sep 17 2020

Shareholders:
Dr. J. Mall ( CPSO# 99366 )

Business Address:
641 Commissioners Road East
London ON  N6C 2T9
Phone Number: (519) 686-8585

Business Address:
450 Blanche Street
Petrolia ON  N0N 1R0
Phone Number: (519) 882-4325

Business Address:
89 Norman Street
Sarnia ON  N7T 6S3
Phone Number: (519) 464-4400

Business Address:
437 First Avenue
Petrolia ON  N0N 1R0
Phone Number: (519) 882-0370

Business Address:
3958 Petrolia Line
Petrolia ON  N0N 1R0
Phone Number: (519) 882-2500

Business Address:
4130 Glenview Avenue
Unit 3
Petrolia ON  N0N 1R0
Phone Number: (519) 882-2500

Hospital Privileges

Hospital Location
Bluewater Health Sarnia
Bluewater Health,Charlotte Eleanor Englehart Site Petrolia

Specialties

Specialty Issued On Type
Family Medicine Effective:15 Oct 2014 CFPC Specialist

Terms and Conditions

(1) Dr. JUSTIN MALL may practise only in the areas of medicine in which Dr. MALL is educated and experienced.

Postgraduate Training

Please note: This information may not be a complete record of postgraduate training.



Schulich School of Medicine and Dentistr, 23 Oct 2012 to 15 Jan 2013
AVP - Family Medicine

Schulich School of Medicine and Dentistr, 16 Jan 2013 to 30 Jun 2013
PostGrad Yr 1 - Family Medicine

Schulich School of Medicine and Dentistr, 01 Jul 2013 to 22 Oct 2013
PostGrad Yr 1 - Family Medicine

Schulich School of Medicine and Dentistr, 23 Oct 2013 to 30 Jun 2014
PostGrad Yr 2 - Family Medicine

Schulich School of Medicine and Dentistr, 01 Jul 2014 to 22 Oct 2014
PostGrad Yr 2 - Family Medicine

Registration History

Action Issue Date
First certificate of registration issued: Pre Entry Assessment Program Certificate Effective: 23 Oct 2012
Transfer of class of registration to: Postgraduate Education Certificate Effective: 16 Jan 2013
Transfer of class of registration to: Independent Practice Certificate Effective: 16 Oct 2014