OrganizationActive
Thomas a Malec MD PC
NPI 1346414620 · Exclusive Provider Organization · Grand Rapids, MI
Provider details
- NPI number
- 1346414620
- Entity type
- Organization
- Primary specialty
- Exclusive Provider OrganizationManaged Care Organizations
- Organization subpart
- No
- Authorized official
- Thomas Malec, President of Corporation(616) 459-3564
- License
- 4301026401 (MI)
Specialties & taxonomies
Managed Care Organizations
Practice location
515 Lakeside Dr Se
Suite 207
Grand Rapids, MI 49506-2931
Phone: (616) 459-3564
Fax: (616) 459-3868
Approximate (ZIP-level) locationGet directions
Mailing address
515 Lakeside Dr Se
Grand Rapids, MI 49506-2931
Registry dates
- Enumerated
- 2008-04-17
- Last updated
- 2008-08-28
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.