Individual
SUSAN MARTHA MALINOWSKI
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
29201 TELEGRAPH RD, SUITE 606, SOUTHFIELD, MI 48034-1331
(248) 356-8610
Mailing address
29201 TELEGRAPH RD, SUITE 606, SOUTHFIELD, MI 48034-1331
(248) 356-8610
Taxonomy
Speciality
Code
Description
License number
State
207W00000X
Ophthalmology Physician
Primary
43010 52762
MI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
3386515
—
MI
Enumeration date
06/30/2006
Last updated
10/14/2014
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