Individual
DR. MICHAEL MALAVE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
OD
Contact information
Practice address
2801 E MARKET ST, 40 WAL MART VISION CENTER, YORK, PA 17402
(717) 600-0856
(717) 600-0567
Mailing address
22 N MAIN ST, JACOBUS, PA 17407
(717) 413-7265
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
OEG001302
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
018625200003
—
PA
Enumeration date
09/25/2006
Last updated
07/08/2007
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