Doctor Name: | LEON MALACHINSKI |
NPI Number: | 1265730113 |
Entity Type Code: | Individual (1) |
Gender: | M |
Credentials: | D.O |
License Number: | 22647-021 |
Business Practice Address: | 544 E Ogden Ave Milwaukee, WI - 532022698 |
Business Phone Number: | 6303921680 |
Business Fax Number: | |
Mailing Address: | 544 E Ogden Ave, MILWAUKEE |
State: | WI |
Postal Code: | 532022698 |
Phone Number: | 6303921680 |
Fax Number: | |
NPI Enumeration Date: | 03/02/2011 |
NPI Last Update Date: | 03/02/2011 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 208D00000X |
License Number: | 22647-021 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | WI |
Taxonomy Type: | Allopathic & Osteopathic Physicians |
Taxonomy Classification: | General Practice |
Taxonomy Specialization: | |
Taxonomy Definition: |