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Organization

MALA PODIATRIC SERVICES,LLC

Active
Organization subpart
No

Provider details

NPI number
Authorized official
OLEH ROMAN LAWRIN DPM (OWNER)
(586) 759-4170
Entity
Organization

Contact information

Practice address
4595 NATHAN W, STERLING HEIGHTS, MI 48310-2658
(586) 759-4170
(586) 759-0150
Mailing address
4595 NATHAN W, STERLING HEIGHTS, MI 48310-2658
(586) 759-4170
(586) 759-0150

Taxonomy

Speciality
Code
Description
License number
State
213EP1101X
Primary Podiatric Medicine Podiatrist
Primary
400101
MI

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
134756639
MI
Enumeration date
07/01/2005
Last updated
09/29/2015
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