Gerianne Lynn Malik in Roseville - Medical

Gerianne Lynn Malik - NPI 1194814996

Gerianne Lynn Malik is a Medical in Roseville, Michigan. Gerianne Lynn Malik practices all healthcare services and medical treatments related to Medical. The NPI Number for Gerianne Lynn Malik is 1194814996. The last update date is 2009-01-21.

Gerianne Lynn Malik's current location address is 18325 10 Mile Road, Roseville, Michigan. You can contact this provider via phone number 5867754594 and fax number 5867754506. The mailing address for Gerianne Lynn Malik is 18325 10 Mile Road, Roseville, Michigan. To know further, please read the information below!

Provider Profile Detail

Provider Name Gerianne Lynn Malik
Address 18325 10 Mile Road, Roseville, Michigan
Phone Number 5867754594
Fax Number 5867754506
Sole Proprietor N
Credentials PAC

NPI Number Detail

NPI Number 1194814996
Provider Enumeration Date 2006-10-12
Last Updated Date 2009-01-21

Provider Mailing Address Detail

Address 18325 10 Mile Road
City Roseville
State Michigan (MI)
Post Code 480664990
Phone Number 5867754594
Fax Number 5867754506

Provider's Primary Taxonomy Detail

Speciality Medical
Taxonomy 363Am0700X
Licence No 5601002957
Definition:
A licensed healthcare professional who practices medicine under physician supervision focusing on medical diagnoses and treatment.

Provider's Other Legacy Identifiers

Identifier Identifier Type Identifier State Identifier Issuer
065 501 3610 MI BCBS

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FAQs about Gerianne Lynn Malik

What is the unique identifier code issued to Gerianne Lynn Malik by the Centers for Medicare & Medicaid Services?

The Gerianne Lynn Malik has been assigned the NPI (National Provider Identifier) 1194814996. This 10-digit code serves as a unique identification number for healthcare providers issued by the Centers for Medicare & Medicaid Services (CMS).

Could you please share the complete physical address where Gerianne Lynn Malik is geographically located?

The Gerianne Lynn Malik is physically situated at the following location: 18325 10 Mile Road, Roseville, MI, 480664990.

What is Gerianne Lynn Malik's specialized area of practice, and what is the corresponding taxonomy classification code for this field?

The Gerianne Lynn Malik's specialized field of practice is Medical, and the corresponding taxonomy code that categorizes this area of specialization is 363Am0700X.

When did the Gerianne Lynn Malik receive its 1194814996?

The Gerianne Lynn Malik was issued its 1194814996 on 2006-10-12, which is the date when the organization was assigned this unique identifier.

As of what date was the information pertaining to Gerianne Lynn Malik, such as address, specialty, and other details, last reviewed and confirmed to be accurate?

The information related to Gerianne Lynn Malik, including its address, specialty, and other relevant details, was last reviewed and confirmed to be accurate on 2009-01-21.

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