Individual
DR. MICHAEL C MALCZEWSKI
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
7865 GRAND BLVD, HOBART, IN 46342-6665
(219) 945-0669
(219) 945-5669
Mailing address
7865 GRAND BLVD, HOBART, IN 46342-6665
(219) 945-0669
(219) 945-5669
Taxonomy
Speciality
Code
Description
License number
State
2086S0105X
Surgery of the Hand (Surgery) Physician
01043550A
IN
2086S0122X
Plastic and Reconstructive Surgery Physician
Primary
01043550A
IN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
200025060
—
IN
Enumeration date
08/12/2005
Last updated
12/02/2009
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