Individual
JADWIGA KAZIMIERA MALACZYNSKI
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
3120 CARPENTER, SUITE 311, HAMTRAMCK, MI 48212-2783
(313) 369-3365
(313) 893-3875
Mailing address
3120 CARPENTER, SUITE 311, HAMTRAMCK, MI 48212-2783
(313) 369-3365
(313) 893-3875
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
JM061286
MI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0827662
BLUE CROSS BLUE SHIELD MI
MI
05
—
4272045
—
MI
Enumeration date
09/29/2006
Last updated
06/11/2010
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