THOMAS A MALEC MD PC
Managed Care Organizations at Lakeside Dr, Grand Rapids, MI

License number
Michigan 4301026401
Category
Managed Care Organizations
Type
Exclusive Provider Organization
Owner
Name: DR. THOMAS ANTHONY MALEC M.D.
Title: PRESIDENT OF CORPORATION
Phone: (616) 459-3564
Address
Address
515 Lakeside Dr SE SUITE 207, Grand Rapids, MI 49506
National Provider ID: 1346414620
LicenseFiles verified this license of Nov 7, 2017 at the National Plan and Provider Enumeration System.

Organization information

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THOMAS A. MALEC, M.D., PC

515 Lakeside Dr STE 207, Grand Rapids, MI 49506

Status:
Inactive
Industry:
Medical Doctor's Office
Doing business as:
Thomas A Malec MD PC<br>Thomas A Malec MD
Registration:
Oct 15, 1984
Phone:
(616) 459-3564 (Phone), (616) 464-2890 (Phone)
State ID:
252896
Business type:
Domestic Professional Service Corporation
Expiration:
7-15-2011
Secretarys:
Thomas A. Malec President, Medical Doctor, inactive,Ann Giese Secretary, inactive
Agent:
Thomas A. Malec, M.d
Categories:
Ophthalmology Physicians & Surgeons

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