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Individual

GRETCHEN LYNN MALIKOWSKI

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
M.D.

Contact information

Practice address
353 KENMORE AVE STE 2, BUFFALO, NY 14223-2925
(716) 970-4140
Mailing address
4949 MAIN ST, AMHERST, NY 14226-4013
(716) 970-4140

Taxonomy

Speciality
Code
Description
License number
State
207N00000X
Dermatology Physician
305158
NY
207ND0101X
MOHS-Micrographic Surgery Physician
Primary
305158
NY

Other

Enumeration date
05/19/2015
Last updated
10/28/2020
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