Individual
MARK Z MACHALKA
Active
Sole proprietor
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
1174 W MICHIGAN AVE, MARSHALL, MI 49068-1497
(269) 781-9867
(269) 781-9126
Mailing address
1174 W MICHIGAN AVE, MARSHALL, MI 49068-1497
(269) 781-9867
(269) 781-9126
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
4301083608
MI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
4635811
—
MI
Enumeration date
05/25/2006
Last updated
07/08/2007
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