Individual
MATTHEW REID MALCZEWSKI
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
7878 N 76TH ST, MILWAUKEE, WI 53223-3914
(414) 354-6434
Mailing address
PO BOX 735044, CHICAGO, IL 60673-5044
(800) 326-2250
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
125.060787
IL
207Q00000X
Family Medicine Physician
Primary
63881
WI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1000455527
—
WI
Enumeration date
05/08/2012
Last updated
03/25/2025
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