Individual
DR. LEO MICHAEL MICHALEK JR.
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
6946 E EDEN RD, HAMBURG, NY 14075-6408
(716) 649-5180
Mailing address
6946 E EDEN RD, HAMBURG, NY 14075-6408
(716) 649-5180
Taxonomy
Speciality
Code
Description
License number
State
208D00000X
General Practice Physician
Primary
094920
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
00010118401
UNIVERA
—
01
—
000505334001
BCBS
—
05
—
00601643
—
NY
01
—
1700291
IHA
—
Enumeration date
09/13/2005
Last updated
01/02/2025
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