Individual
MALIK E MCKANY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
44555 WOODWARD AVE, SUITE 101, PONTIAC, MI 48341-5031
(248) 858-3800
Mailing address
44555 WOODWARD AVE, SUITE 101, PONTIAC, MI 48341-5031
(248) 858-3800
Taxonomy
Speciality
Code
Description
License number
State
208600000X
Surgery Physician
Primary
43010404102
MI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0630663
BLUE CROSS
MI
05
—
103232949
—
MI
Enumeration date
07/16/2006
Last updated
06/24/2021
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