Individual
GEORGE PAUL MALICK
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
38865 DEQUINDRE RD, SUITE 104, TROY, MI 48083-6812
(248) 743-9330
(248) 743-9332
Mailing address
38865 DEQUINDRE RD, SUITE 104, TROY, MI 48083-6812
(248) 743-9330
(248) 743-9332
Taxonomy
Speciality
Code
Description
License number
State
207N00000X
Dermatology Physician
Primary
4301032495
MI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0705022692
BCBS
MI
01
—
0745000062
BCBS OF MI
MI
05
—
1068315
—
MI
Enumeration date
09/22/2006
Last updated
04/02/2015
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