Leo Michael Michalek JR. MD

NPI 1003801366 - General Practice - 208D00000X

NPI Details
NPI 1003801366
Gender Male
Enumeration Date 09/13/2005
Last Updated 05/05/2010
Entity Type Individual
Active Over 12 years ago
Practice Location
561 RIDGE RD
LACKAWANNA NY, 14218-1319, US
Phone (716) 823-0141
Fax (716) 822-5468
Business Location
550 CENTER RD
WEST SENECA NY, 14224, US
Phone (716) 677-0100
Fax (716) 677-0200
Toxanomy
Taxonomy Code 208D00000X
License State New York
License Number 094920
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According to our database, Dr. Leo Michael Michalek JR. MD NPI is 1003801366, taxonomy code is 208D00000X and license number is 094920, license state is located at New York. Leo Michael Michalek JR. MD physically located at 561 Ridge Rd, Lackawanna NY, 14218-1319. NPI Number Leo Michael Michalek JR. MD has the Individual type.

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1003801366 NPI number is provided on an as is basis without warranty of any kind. 1003801366 is maintained by the National Plan & Provider Enumeration System. The contents of Leo Michael Michalek JR. MD are for informational purposes only.