Individual
MR. CARY MALCZEWSKI
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
P.A.
Contact information
Practice address
520 S 7TH ST, VINCENNES, IN 47591-1038
(812) 885-3810
(812) 885-3811
Mailing address
520 S 7TH ST, VINCENNES, IN 47591-1038
(812) 885-3810
(812) 885-3811
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
085004216
IL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
000000803351
ANTHEM
IN
01
—
941140002
MEDICARE
IN
Enumeration date
12/08/2011
Last updated
07/21/2022
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