Individual
THOMAS A MALVITZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
1111 LEFFINGWELL AVE NE, GRAND RAPIDS, MI 49525-6406
(616) 459-7101
Mailing address
1111 LEFFINGWELL AVE NE, GRAND RAPIDS, MI 49525-6406
(616) 459-7101
Taxonomy
Speciality
Code
Description
License number
State
207X00000X
Orthopaedic Surgery Physician
Primary
4301050914
MI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
4171024
—
MI
Enumeration date
10/10/2005
Last updated
04/07/2025
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