MEDICARE: DR. DAVID MALICKE D.O.

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	207P00000X	Emergency Medicine Physician	5101006437	MI

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
2	1156338864	OTHER	MI	BCBS

General Provider Information

NPI Number	:	1043298342
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. DAVID MALICKE D.O.

Provider Business Mailing Address
First Line	:	2764 NEW ENGLAND DR
Second Line	:
City	:	ROCHESTER HILLS
State	:	MI
Zip	:	48309-2818
Country	:	US
Telephone Number	:	734-632-0175
Fax Number	:	734-632-0182

Provider Business Practice Location Address
First Line	:	5450 FORT ST
Second Line	:	EMERGENCY MEDICINE DEPARTMENT
City	:	TRENTON
State	:	MI
Zip	:	48183-4601
Country	:	US
Telephone Number	:	734-671-3883
Fax Number	:	734-671-3546

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	01/06/2006
Last Update Date	:	02/25/2019

Similar Medicare Providers

1164354304 — SARAH HAJ-DIAB DO
Practice Location Address:

5450 FORT ST
TRENTON, MI
48183-4601

Practice Phone: 734-671-3800
Practice Fax:

1457354524 — CRAIG EUGENE DUNN CRNA
Practice Location Address:

5450 FORT ST
TRENTON, MI
48183-4601

Practice Phone: 734-671-3800
Practice Fax: 734-671-3185

1275511180 — DR. ARASH ARMIN D.O.
Practice Location Address:

5450 FORT ST , EMERGENCY MEDICINE DEPARTMENT
TRENTON, MI
48183-4601

Practice Phone: 734-671-3883
Practice Fax: 734-671-3546

1245218734 — DR. MICHAEL DARGAY D.O.
Practice Location Address:

5450 FORT ST , EMERGENCY MEDICINE DEPARTMENT
TRENTON, MI
48183-4601

Practice Phone: 734-671-3883
Practice Fax: 734-671-3546

1790763134 — DR. JOSEPH KLEBER M.D.
Practice Location Address:

5450 FORT ST , EMERGENCY MEDICINE DEPARTMENT
TRENTON, MI
48183-4601

Practice Phone: 734-671-3883
Practice Fax: 734-671-3546

1851363105 — DR. STEPHANIE L CRAIN D.O.
Practice Location Address:

5450 FORT ST
TRENTON, MI
48183-4601

Practice Phone: 734-671-3950
Practice Fax:

Directions to “ DR. DAVID MALICKE D.O.” Practice Location

Language	Start Address	Practice Location

These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.

Copyright © 2007-2026 (Powered by Swiss Vault Engine), all rights reserved. HIPAA liability, trademark, document use and software licensing rules apply. All registered trademarks, used in the content, are the property of their owners. Your interactions with this site are in accordance with our Terms of Use and Privacy Policy.