Individual
MRS. ELIZABETH C MALSHESKE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA-C
Contact information
Practice address
463 EAST CIRCLE DR, EAST LANSING, MI 48824-7505
(517) 353-5586
(517) 432-9462
Mailing address
804 SERVICE RD, A201, EAST LANSING, MI 48824-7015
(517) 884-2976
(517) 432-3928
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
2586
CO
363A00000X
Physician Assistant
Primary
5601004696
MI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1932199262
—
MI
Enumeration date
10/27/2005
Last updated
06/09/2016
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