Malicke, Gregg Thomas

Malicke, Gregg Thomas is an sole proprietor health care provider with primary practice located at 14755 215Th Ave , Big Rapids MI 49307-9224. He recently has only one registered license in Allopathic & Osteopathic Physicians / Emergency Medicine, which is considered as his primary health care specialty. Malicke, Gregg Thomas can be contacted via phone (231) 796-3200.

Contact Information

Primary practice address
14755 215Th Ave Big Rapids MI 49307-9224
Fax:
Website:

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Emergency Medicine 207P00000X 5101020109 Michigan

Profile Details

NPI number 1417211087
LBN Legal business name Malicke, Gregg Thomas
Credentials Doctor of Osteopathy (DO)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Jun 28th, 2012
Last updated Apr 22nd, 2024 - about 8 months 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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