Dr. Leo Michael Michalek Jr., MD
General Practice in Hamburg, NY. Individual provider (NPI-1).
NPI number1003801366
StatusActive
Last updated in NPPESJan 2, 2025
Details
- NPI
- 1003801366
- Entity type
- Individual (NPI-1)
- Name
- Dr. Leo Michael Michalek Jr.
- Credential
- MD
- Sex
- Male
- Sole proprietor
- Yes
- Enumeration date
- Sep 13, 2005
- Certification date
- Jan 2, 2025
- Last updated
- Jan 2, 2025
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 208D00000X | General Practice | 094920 | NY | Yes |
Practice location
6946 E Eden RdHamburg, NY 14075-6408
Phone 716-649-5180
Mailing address
6946 E Eden RdHamburg, NY 14075-6408
Phone 716-649-5180
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