Malczewski, Michael C

Malczewski, Michael C is an individual health care provider with primary practice located at 7865 Grand Blvd , Hobart IN 46342-6665. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Plastic and Reconstructive Surgery, Allopathic & Osteopathic Physicians / Surgery of the Hand. Allopathic & Osteopathic Physicians / Plastic and Reconstructive Surgery is his primary health care specialty. Malczewski, Michael C can be contacted via phone (219) 945-0669.

Contact Information

Primary practice address
7865 Grand Blvd Hobart IN 46342-6665
Fax: (219) 945-5669
Website:

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Plastic and Reconstructive Surgery 2086S0122X 01043550A Indiana
Allopathic & Osteopathic Physicians / Surgery of the Hand 2086S0105X 01043550A Indiana

Profile Details

NPI number 1336141050
LBN Legal business name Malczewski, Michael C
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Aug 12th, 2005
Last updated Dec 2nd, 2009 - about 17 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1336141050 NPPES
Indiana MEDICAID 200025060

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