Dr David Malicke, DO | |
5450 Fort St, Emergency Medicine Department, Trenton, MI 48183-4601 | |
(734) 671-3883 | |
(734) 671-3546 |
Full Name | Dr David Malicke |
---|---|
Gender | Male |
Speciality | Emergency Medicine |
Location | 5450 Fort St, Trenton, Michigan |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1043298342 | NPI | - | NPPES |
1043298342 | Medicaid | MI | |
1156338864 | Other | MI | BCBS |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207P00000X | Emergency Medicine | 5101006437 (Michigan) | Primary |
Entity Name | Emergency Professionals Of Michigan Pc |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1952740656 PECOS PAC ID: 3274767371 Enrollment ID: O20131003000093 |
Mailing Address | Practice Location Address |
---|---|
Dr David Malicke, DO 2764 New England Dr, Rochester Hills, MI 48309-2818 Ph: (734) 632-0175 | Dr David Malicke, DO 5450 Fort St, Emergency Medicine Department, Trenton, MI 48183-4601 Ph: (734) 671-3883 |
Dr. Nicholas Hall, DO Emergency Medicine Medicare: Medicare Enrolled Practice Location: 1896 Heatherhill St, Trenton, MI 48183 Phone: 734-778-9820 | |
Dr. Charles Incognito Carino, DO Emergency Medicine Medicare: Accepting Medicare Assignments Practice Location: 5450 Fort St, Trenton, MI 48183 Phone: 816-304-1573 | |
Paul Kennedy Perry, D.O. Emergency Medicine Medicare: Accepting Medicare Assignments Practice Location: 5450 Fort St, Trenton, MI 48183 Phone: 734-671-3800 | |
Esli Gollapalli, DO Emergency Medicine Medicare: Accepting Medicare Assignments Practice Location: Oakwood Southshore Medical Center, 5450 Fort St, Trenton, MI 48183 Phone: 734-671-3800 | |
Dr. Jonathan Blair Leischner, D.O. Emergency Medicine Medicare: Medicare Enrolled Practice Location: 5450 Fort St, Trenton, MI 48183 Phone: 734-671-3297 | |
Dr. Matthew James Thomas, DO Emergency Medicine Medicare: Medicare Enrolled Practice Location: 5450 Fort St, Trenton, MI 48183 Phone: 734-671-3297 |