Mark Mitchell Malicki, MD

NPI #1083619209 in Johnstown, Pennsylvania

Provider Information

NPI Number: 1083619209
Entity Type: Individual
Name: Mark Mitchell Malicki, MD
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Family Medicine
Credential: MD
Enumeration Date: Jun 15, 2005
Last Updated: Jun 17, 2010

Practice Location

Address: 322 WARREN ST
Address 2: STE 300
City: Johnstown
State: Pennsylvania
ZIP Code: 15905-3443
Phone: (814) 288-1418

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Family Medicine	207Q00000X	Primary

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