Individual
DAVID OKEOGHENE MALAKA
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
1234 NAPIER AVE, SAINT JOSEPH, MI 49085-2112
(269) 985-4632
(269) 985-4623
Mailing address
6416 DEANS HILL RD, BERRIEN CENTER, MI 49102-9750
(269) 985-4632
(269) 985-4623
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
4301103741
MI
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1548568066
—
MI
Enumeration date
03/08/2011
Last updated
06/25/2013
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