LATISHA M MALCOM

DETROIT, MI
NPI1114999430
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy207R00000X Internal Medicine
(Licence: MI  4301070929)
Enumeration Date2006-02-02
Last Update Date2011-05-12
Business Address
-- LATISHA M MALCOM M.D.
6455 GRATIOT AVE
DETROIT, MI 48207-1808
Phone number: 313-921-8600
Mailing Address
-- LATISHA M MALCOM M.D.
28801 PLYMOUTH RD
LIVONIA, MI 48150-2385
Phone number: 734-266-2780
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