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1114999430
LATISHA M MALCOM
DETROIT, MI
NPI
1114999430
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
207R00000X Internal Medicine
(Licence: MI 4301070929)
Enumeration Date
2006-02-02
Last Update Date
2011-05-12
Business Address
-- LATISHA M MALCOM M.D.
6455 GRATIOT AVE
DETROIT, MI 48207-1808
Phone number: 313-921-8600
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Mailing Address
-- LATISHA M MALCOM M.D.
28801 PLYMOUTH RD
LIVONIA, MI 48150-2385
Phone number: 734-266-2780
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