Malicke, David

Malicke, David is an individual health care provider with primary practice located at 5450 Fort St Emergency Medicine Department, Trenton MI 48183-4601. He recently has only one registered license in Allopathic & Osteopathic Physicians / Emergency Medicine, which is considered as his primary health care specialty. Malicke, David can be contacted via phone (734) 671-3883.

Contact Information

Primary practice address
5450 Fort St Emergency Medicine Department Trenton MI 48183-4601
Phone: (734) 671-3883
Fax: (734) 671-3546
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Emergency Medicine 207P00000X 5101006437 Michigan

Profile Details

NPI number 1043298342
LBN Legal business name Malicke, David
Credentials Doctor of Osteopathy (DO)
Entity Individual
Sole proprietor 1 No
Enumeration date Jan 6th, 2006
Last updated Feb 25th, 2019 - about 5 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1043298342 NPPES
Michigan MEDICAID 1043298342
Michigan Other 1156338864

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