Individual
THOMAS A MALEC
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D., P.C.
Contact information
Practice address
515 LAKESIDE DR SE, SUITE 207, GRAND RAPIDS, MI 49506-2931
(616) 459-3564
(616) 459-3868
Mailing address
515 LAKESIDE DR SE, SUITE 207, GRAND RAPIDS, MI 49506-2931
(616) 459-3564
(616) 459-3868
Taxonomy
Speciality
Code
Description
License number
State
207W00000X
Ophthalmology Physician
Primary
4301026401
MI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1059530
—
MI
Enumeration date
09/06/2005
Last updated
08/28/2008
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