Individual
LEON MALACHINSKI
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
D.O
Contact information
Practice address
544 E OGDEN AVE, MILWAUKEE, WI 53202-2698
(630) 392-1680
Mailing address
544 E OGDEN AVE, MILWAUKEE, WI 53202-2698
(630) 392-1680
Taxonomy
Speciality
Code
Description
License number
State
208D00000X
General Practice Physician
Primary
22647-021
WI
Other
Enumeration date
03/02/2011
Last updated
03/02/2011
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