Organization
JADWIGA MALACZYNSKI, M.D.,PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. JADWIGA KAZIMIERA MALACZYNSKI M.D. (PRESIDENT)
(313) 369-3365
Entity
Organization
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
207RH0003X
Hematology & Oncology Physician
Primary
4301061286
MI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0827662
BLUE CROSS BLUE SHIELD
MI
05
—
4272045
—
MI
Enumeration date
06/17/2010
Last updated
06/17/2010
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