Individual
BROCK JOHN MALATCHES
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
27472 SCHOENHERR RD STE 100, WARREN, MI 48088-6675
(586) 751-8844
(586) 751-8596
Mailing address
27472 SCHOENHERR RD STE 100, WARREN, MI 48088-6675
(586) 751-8844
(586) 751-8596
Taxonomy
Speciality
Code
Description
License number
State
390200000X
Student in an Organized Health Care Education/Training Program
Primary
4351049719
MI
390200000X
Student in an Organized Health Care Education/Training Program
—
MI
Other
Enumeration date
06/26/2022
Last updated
04/30/2025
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