Malikowski, Thu

Malikowski, Thu is an individual health care provider with primary practice located at 835 S Van Buren St , Green Bay WI 54301-3526. She recently has only one registered license in Allopathic & Osteopathic Physicians / Physical Medicine & Rehabilitation, which is considered as her primary health care specialty. Malikowski, Thu can be contacted via phone (920) 496-4700.

Contact Information

Primary practice address
835 S Van Buren St Green Bay WI 54301-3526
Phone: (920) 496-4700
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Physical Medicine & Rehabilitation 208100000X 234401 Massachusetts
Allopathic & Osteopathic Physicians / Physical Medicine & Rehabilitation 208100000X 69249-20 Wisconsin

Profile Details

NPI number 1184659740
LBN Legal business name Malikowski, Thu
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jul 12th, 2006
Last updated Jul 18th, 2023 - about 2 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 1184659740 NPPES
Massachusetts MEDICAID 110078583A

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